Individual
DR. MARIE ELIZABETH MUGAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, FNP, PMHNP-BC
Contact information
Practice address
5800 MCLEOD RD NE STE D, ALBUQUERQUE, NM 87109-2467
(505) 508-1167
(505) 212-0332
Mailing address
PO BOX 14888, ALBUQUERQUE, NM 87191-4888
(505) 508-1167
(505) 212-0332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R39817
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP00879
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000A5326
—
NM
Enumeration date
07/10/2009
Last updated
05/24/2024
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