Individual
AUGUSTINA A ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
3917 WEST RD STE A, LOS ALAMOS, NM 87544-2292
(505) 661-8989
(505) 661-8916
Mailing address
3917 WEST RD STE A, LOS ALAMOS, NM 87544-2292
(505) 661-8900
(505) 661-8916
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP00489
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G6458
—
NM
Enumeration date
10/03/2006
Last updated
07/16/2021
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