Individual
JULIA R. CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
300 OAK ST NE, ALBUQUERQUE, NM 87106-4725
(505) 855-5525
(505) 884-4006
Mailing address
300 OAK ST NE, ALBUQUERQUE, NM 87106-4725
(505) 855-5525
(505) 884-4006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R28482
NM
363LF0000X
Family Nurse Practitioner
Primary
R28482
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000H2506
—
NM
05
—
000Z5691
—
NM
01
—
201001679
PRESBYTERIAN
NM
01
—
500019392
RAIL ROAD MEDICARE #
NM
01
—
NM006395
BCBS/HMO NM #
NM
Enumeration date
03/24/2006
Last updated
03/07/2011
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