IndividualActive
Mary Guillen, R.D.
NPI 1063421725 · Renal Nutrition Registered Dietitian · Albuquerque, NM
Provider details
- NPI number
- 1063421725
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 379 (NM)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1501 San Pedro Dr Se
Albuquerque, NM 87108-5153
Phone: (505) 265-1711
Approximate (ZIP-level) locationGet directions
Mailing address
6928 Edwina Ave Ne
Albuquerque, NM 87110-1404
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.