# MR. CHAYENE PETERSON ALBUQUERQUE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285976803
- **Gender:** F
- **Credential:** FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 64630 | ID | — |
| 363L00000X | Nurse Practitioner | AP60940497 | WA | Yes |
| 363LF0000X | Family Nurse Practitioner | AP4894 | AZ | — |
| 363LF0000X | Family Nurse Practitioner | AP60940497 | WA | — |

## Other

- **Enumeration date:** 03/21/2013
- **Last updated:** 05/19/2021