| NPI | 1891784088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH G ABBOTT President / CEO 505-298-1558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM R18198) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM R25188) |
| 363L00000X Nurse Practitioner (Licence: NM R19106) | |
| 363L00000X Nurse Practitioner (Licence: NM R31749) | |
| 363L00000X Nurse Practitioner (Licence: GA RN130480) | |
| 363L00000X Nurse Practitioner (Licence: AZ RN086525) | |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2020-08-22 |