Individual
DR. CURTISS JOHN VAVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP, PHD, MSN
Contact information
Practice address
5901 OURAY RD NW, ALBUQUERQUE, NM 87120-1381
(505) 836-0023
Mailing address
9628 VISTA CASITAS DR NW, ALBUQUERQUE, NM 87114-3720
(505) 301-1660
(505) 209-2358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R27383
NM
363LG0600X
Gerontology Nurse Practitioner
84621
NM
363LP2300X
Primary Care Nurse Practitioner
Primary
84621
NM
Other
Enumeration date
02/26/2024
Last updated
02/14/2026
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