Individual
MR. JOE BEN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
(505) 998-7740
Mailing address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
(505) 998-7741
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP9388145
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP-58760
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2676036
—
NM
Enumeration date
10/28/2014
Last updated
09/19/2023
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