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Individual

DR. LATANYUA BLACKWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC, NRCME

Contact information

Practice address
8226 MENAUL BLVD NE # 206, ALBUQUERQUE, NM 87110-4614
(877) 629-6454
(505) 212-0385
Mailing address
8226 MENAUL BLVD NE # 206, ALBUQUERQUE, NM 87110-4614
(877) 629-6454
(505) 212-0385

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
350752
NY
363LF0000X
Family Nurse Practitioner
69311
ID
363LF0000X
Family Nurse Practitioner
Primary
CNP-02941
NM
363LF0000X
Family Nurse Practitioner
R178174
MD
363LP2300X
Primary Care Nurse Practitioner
CNP-02941
NM

Other

Enumeration date
10/14/2015
Last updated
11/15/2022
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