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Individual

ELIZABETH F BACA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2502 MARBLE AVE, ALBUQUERQUE, NM 87131-0001
(800) 690-0934
Mailing address
1704 STAGECOACH RD SE, ALBUQUERQUE, NM 87123-4439
(505) 712-6592

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN-72148
NM

Other

Enumeration date
12/04/2019
Last updated
12/30/2024
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