Individual
ANDRE MICHAEL CHEPETAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6709 ACADEMY RD NE STE A, ALBUQUERQUE, NM 87109-3363
(505) 308-3145
(505) 308-3147
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(469) 291-3369
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1029382
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
64039
NM
Other
Enumeration date
11/09/2020
Last updated
08/25/2024
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