Individual
MALVIN DURAN ACEBUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
401 NELSON AVE, FARMINGTON, NM 87401-3362
(917) 972-6925
Mailing address
401 NELSON AVE APT 1104, FARMINGTON, NM 87401-3366
(917) 972-6925
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R63659
NM
163WH0200X
Home Health Registered Nurse
R63659
NM
363LA2100X
Acute Care Nurse Practitioner
Primary
818506
NV
363LA2100X
Acute Care Nurse Practitioner
84811
NM
Other
Enumeration date
05/10/2023
Last updated
09/02/2025
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