Individual
MRS. MIRNA M CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4010 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1186
(505) 254-6100
(505) 254-6532
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0000000000
NM
Other
Enumeration date
08/09/2023
Last updated
11/21/2024
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