Individual
MS. CHLOE ANNALEWISE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7001 SIGNAL AVE NE, ALBUQUERQUE, NM 87113-2453
(505) 856-2735
(505) 856-2749
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71065
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6F2981
MEDICARE PTAN
NM
05
—
73521272
—
NM
Enumeration date
01/02/2023
Last updated
02/23/2024
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