Individual
MRS. LAURA ANN ABEYTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-3170
(505) 727-9590
Mailing address
500 WALTER ST NE STE 501, ALBUQUERQUE, NM 87102-2521
(505) 727-3170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C06537
MD
363A00000X
Physician Assistant
Primary
PA2019-0004
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28806077
—
NM
Enumeration date
08/03/2017
Last updated
01/08/2021
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