Individual
KOURTNEY ANNA CHAIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1363 ABERDEEN AVE, WHITE SANDS MISSILE RANGE, NM 88002
(575) 674-3500
(915) 742-7459
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02110
NM
Other
Enumeration date
10/31/2012
Last updated
02/12/2025
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