Individual
CHIP UPSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
454 SAINT MICHAELS DR, SANTA FE, NM 87505-7602
(505) 303-5000
(505) 303-5199
Mailing address
2608 ALAMOSA DR, SANTA FE, NM 87505-5216
(505) 577-6596
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R67343
NM
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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