Forever 29 LLC
NPI #1598465221 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1598465221
- Entity Type
- Organization
- Organization Name
- Forever 29 LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Mar 10, 2023
- Last Updated
- May 9, 2025
Practice Location
- Address
- 10416 MORNING STAR DR NE
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87111-7539
- Phone
- (214) 227-2457
Authorized Official
- Name
- KELLY V RIVERA, NP
- Title
- OWNER / PROVIDER
- Phone
- (214) 227-2457
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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