Individual
SUZETTE BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2921 CARLISLE BLVD NE, STE 125, ALBUQUERQUE, NM 87110-2865
(505) 554-1659
(505) 554-1541
Mailing address
2921 CARLISLE BLVD NE, STE 125, ALBUQUERQUE, NM 87110-2865
(505) 554-1659
(505) 554-1541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
59828
NM
Other
Enumeration date
02/25/2020
Last updated
12/29/2021
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