Individual
MRS. MAKITA LEANN CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2400 UNSER BLVD SE LOWER LEVEL, RIO RANCHO, NM 87124-4740
(505) 610-9261
Mailing address
PO BOX 26666, PRESBYTERIAN HEALTHCARE SERVICE, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71566
NM
363L00000X
Nurse Practitioner
71566
NM
Other
Enumeration date
01/26/2023
Last updated
09/19/2023
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