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Individual
MR. CHAYENE PETERSON ALBUQUERQUE
Active
Individual
MR. CHAYENE PETERSON ALBUQUERQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
64630
ID
363L00000X
Nurse Practitioner
Primary
AP60940497
WA
363LF0000X
Family Nurse Practitioner
AP4894
AZ
363LF0000X
Family Nurse Practitioner
AP60940497
WA
Other
Enumeration date
03/21/2013
Last updated
05/19/2021
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