Individual
WALTER C CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106-4917
(505) 724-4300
(505) 724-4384
Mailing address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106-4917
(505) 724-4300
(505) 724-4384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R26378
NM
363L00000X
Nurse Practitioner
Primary
CNP00502
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87462
—
NM
05
—
B7462
—
NM
Enumeration date
08/30/2006
Last updated
07/16/2013
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