Individual
ANTHONY CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1100 CENTRAL AVE SE, PMG 4TH FLOOR AIC, ALBUQUERQUE, NM 87106-4930
(505) 724-6145
Mailing address
1100 CENTRAL AVE SE, PMG 4TH FLOOR AIC, ALBUQUERQUE, NM 87106-4930
(505) 724-6145
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP-02479
NM
Other
Enumeration date
05/27/2014
Last updated
08/04/2014
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