Individual
NICOLE V ABEYTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61B W ROMERO RD, RANCHOS DE TAOS, NM 87557-8747
(575) 779-4939
Mailing address
PO BOX 351, RANCHOS DE TAOS, NM 87557-0351
(575) 779-4939
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/01/2025
Last updated
08/06/2025
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