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Individual

CALEY NICOLE DENEVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
611 NATIONAL AVE, LAS VEGAS, NM 87701-4243
(505) 426-0700
(505) 426-0702
Mailing address
611 NATIONAL AVE, LAS VEGAS, NM 87701-4243
(505) 426-0700
(505) 426-0702

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53418
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
53418
NEW MEXICO BOARD OF NURSING
NM
Enumeration date
06/30/2020
Last updated
06/30/2020
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