Individual
SUSAN STEPHANIE CHEWIWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
01 SAGEBRUSH, ISLETA, NM 87022
(505) 869-4864
(505) 869-4862
Mailing address
P.O BOX 640, ISLETA, NM 87022-0640
(505) 869-4864
(505) 869-4881
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R31878
NM
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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