Individual
JOVAN ASHKAPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1432 UPPER CANYON RD, SANTA FE, NM 87501-6134
(917) 756-4015
Mailing address
1432 UPPER CANYON RD, SANTA FE, NM 87501-6134
(917) 756-4015
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
55221
NM
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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