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MATTHEW MYERS PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
800 E 9TH AVE, T OR C, NM 87901-1954
(575) 894-3221
(575) 894-4999
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
(540) 222-0869

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN1025634
DC
363LF0000X
Family Nurse Practitioner
Primary
61497
NM
363LP2300X
Primary Care Nurse Practitioner
0024147900
VA

Other

Enumeration date
02/02/2010
Last updated
05/14/2024
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