Individual
MATTHEW ELESPURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10820 COMANCHE RD NE, ALBUQUERQUE, NM 87111-3983
(505) 508-4068
Mailing address
2103 HENDOLA DR NE, ALBUQUERQUE, NM 87110-4809
(505) 705-5052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76504
NM
Other
Enumeration date
01/14/2022
Last updated
10/27/2023
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