Individual
ELIZABETH FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, FNP-BC
Contact information
Practice address
3129 CASA BONITA DR NE, ALBUQUERQUE, NM 87111-5607
(505) 238-6665
Mailing address
3129 CASA BONITA DR NE, ALBUQUERQUE, NM 87111-5607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
65228
NM
Other
Enumeration date
09/07/2016
Last updated
09/30/2021
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