Individual
VINCENT CHMIELARCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
2590 CAMINO ENTRADA, SANTA FE, NM 87507-4876
(505) 946-3233
Mailing address
2590 CAMINO ENTRADA, SANTA FE, NM 87507-4876
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
17857
AK
163W00000X
Registered Nurse
R63290
NM
363LP0200X
Pediatric Nurse Practitioner
469
AK
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP01422
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30481775
—
NM
Enumeration date
05/15/2007
Last updated
11/29/2011
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