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Individual

MRS. ALLYSON B ESQUIBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP, CNM

Contact information

Practice address
200 EMILIO LOPEZ RD NW, LOS LUNAS, NM 87031-6818
(505) 866-2700
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP01080
NM
363LF0000X
Family Nurse Practitioner
R45374
NM
367A00000X
Advanced Practice Midwife
681
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
97421758
NM
Enumeration date
08/27/2007
Last updated
08/04/2017
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