Individual
MR. MICHAEL A JAUREQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1998 N MOTEL BLVD, LAS CRUCES, NM 88007
(575) 541-5941
(575) 541-5048
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03438
NM
Other
Enumeration date
11/02/2017
Last updated
07/20/2021
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