Provider Demographics
NPI:1457776668
Name:ALBUQUERQUE PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:ALBUQUERQUE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:TIWALD
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, NCSN
Authorized Official - Phone:505-265-3711
Mailing Address - Street 1:1509 GEORGENE DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-6076
Mailing Address - Country:US
Mailing Address - Phone:505-265-3711
Mailing Address - Fax:505-348-8503
Practice Address - Street 1:4700 COAL AVE SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-2804
Practice Address - Country:US
Practice Address - Phone:505-265-3711
Practice Address - Fax:505-348-8503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NER49527251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)