Individual
CHARISSE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-NP-C
Contact information
Practice address
4601 COLLEGE BLVD, FARMINGTON, NM 87402-4699
(505) 566-4255
(505) 566-3770
Mailing address
4601 COLLEGE BLVD, FARMINGTON, NM 87402-4699
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP-03322
NM
Other
Enumeration date
08/01/2017
Last updated
01/16/2025
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