Individual
VANESSA TAHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
959 BUENA VISTA DR SE, ALBUQUERQUE, NM 87106-5169
(505) 353-6582
Mailing address
959 BUENA VISTA DR SE, ALBUQUERQUE, NM 87106-5169
(505) 353-6582
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
63723
NM
Other
Enumeration date
05/12/2021
Last updated
05/17/2021
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