Individual
ASHLEY CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4934
(505) 841-1234
Mailing address
6 ANASAZI TRAILS LOOP, PLACITAS, NM 87043-8760
(330) 421-8013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
56369
NM
Other
Enumeration date
02/17/2021
Last updated
09/15/2023
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