Organization
PETROGLYPH PRIMARY CARE AND CONSULTING LLC
Active
Other names
Petroglyph Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M ARCHULETA DNP, APRN, AGACNP-BC (NURSE PRACTITIONER)
(505) 502-4401
Entity
Organization
Contact information
Practice address
525 CHAVEZ ST, LAS VEGAS, NM 87701-3221
(505) 819-8434
Mailing address
6512 PATO RD NW, ALBUQUERQUE, NM 87120-7007
(505) 502-4401
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70802777
—
NM
Enumeration date
08/17/2023
Last updated
01/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us