Basic Information
Provider Information
NPI: 1669906830
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JARAMILLO-HUFF
FirstName: ASHLEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1006 STANFORD DR NE
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871063720
CountryCode: US
TelephoneNumber: 5055061595
FaxNumber:  
Practice Location
Address1: 4701 MONTGOMERY BLVD NE
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871091219
CountryCode: US
TelephoneNumber: 5057274500
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/14/2017
LastUpdateDate: 08/31/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/31/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X NMN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207V00000XMD2021-0534NMY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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