Individual
CASILYN MARIE CHALLACOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6709 ACADEMY RD NE STE A, ALBUQUERQUE, NM 87109-3363
(505) 308-3145
Mailing address
6709 ACADEMY RD NE STE A, ALBUQUERQUE, NM 87109-3363
(509) 290-4554
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
85396
NM
367500000X
Certified Registered Nurse Anesthetist
Primary
66599
NM
Other
Enumeration date
01/05/2022
Last updated
01/19/2024
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