Individual
MARY TERESE ANENKENG ANANGFAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5901 HARPER DR NE, ALBUQUERQUE, NM 87109-3587
(505) 823-8886
(505) 823-8189
Mailing address
10709 MCMICHAEL LN SW, ALBUQUERQUE, NM 87121-3644
(302) 331-7516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53606
NM
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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