Individual
CHARLENE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 923-7971
Mailing address
2129 OSUNA RD NE, STE C, ALBUQUERQUE, NM 87113-1002
(505) 898-2468
(505) 898-1518
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-03413
NM
363LF0000X
Family Nurse Practitioner
CNP03413
NM
Other
Enumeration date
03/28/2018
Last updated
06/23/2022
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