| NPI | 1689438657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEPHANIAH CHEPKWONY Np 505-460-5489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-07-02 |