Individual
MR. MATTHEW DAVID TOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
4600 MONTGOMERY BLVD NE STE D201, ALBUQUERQUE, NM 87109-1211
(505) 884-0079
Mailing address
4600 MONTGOMERY BLVD NE STE D201, ALBUQUERQUE, NM 87109-1211
(505) 884-0079
(505) 884-3888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-75506
NM
363LF0000X
Family Nurse Practitioner
Primary
53771
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96608706
—
NM
Enumeration date
08/09/2018
Last updated
12/28/2021
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