Individual
CHASE EVAN VERZELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2127
Mailing address
800 BRADBURY SE, STE 116, ALBUQUERQUE, NM 87106-6430
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
54936
NM
Other
Enumeration date
09/23/2024
Last updated
10/30/2024
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