Individual
DR. RENE CHAVEZ MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
608 N 1ST ST, ARTESIA, NM 88210-1402
(575) 746-2416
Mailing address
608 N 1ST ST, ARTESIA, NM 88210-1402
(575) 746-2416
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP-02512
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33650012
—
NM
Enumeration date
10/17/2014
Last updated
04/08/2015
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