Individual
MICHELE MARTINEZ GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4901 LANG AVE NE STE 100, ALBUQUERQUE, NM 87109-4597
(505) 883-2574
(505) 883-0725
Mailing address
4901 LANG AVE NE STE 100, ALBUQUERQUE, NM 87109-4597
(505) 883-2574
(505) 883-0725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-03282
NM
Other
Enumeration date
07/13/2017
Last updated
03/13/2025
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