Individual
MR. SEAN DELOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 974-9233
Mailing address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4374
(505) 974-9233
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
66757
NM
Other
Enumeration date
01/24/2022
Last updated
10/05/2023
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