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Individual

ELIZABETH JOYE CHEATHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN, FNP- C

Contact information

Practice address
1512 WHEELER AVE SE, ALBUQUERQUE, NM 87106-5024
(505) 688-1472
Mailing address
5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5345

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
857002
NV
363LP2300X
Primary Care Nurse Practitioner
857002
NV

Other

Enumeration date
04/21/2025
Last updated
05/27/2025
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