| NPI | 1497707442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA P CARVER Cnp/Owner 505-523-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM RII668) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R19996) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |