Individual
MS. OLIVIA CHAVEZ BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
2316 AVENIDA DE LAS CAMPANAS, SANTA FE, NM 87507-5306
(505) 795-1713
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
80247
NM
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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