person
Dmitriy Vladimirovich Bazaron, CNP
Family Nurse Practitioner in Albuquerque, New Mexico
NPI 1043728249

Dmitriy Vladimirovich Bazaron is a Family Nurse Practitioner based in Albuquerque, NM and is specialized in Family. Dmitriy Vladimirovich Bazaron practices in Albuquerque, NM and has the professional credentials of CNP. The NPI Number for Dmitriy Vladimirovich Bazaron is 1043728249 and holds a License No. CNP-03476 (New Mexico).

The current practice location address for Dmitriy Vladimirovich Bazaron is 2901 Transport St Se, Albuquerque, NM and can be reached out via phone at 505-255-1717 and via fax at 505-266-9362.

Location: 2901 Transport St Se, Albuquerque, NM, 87106-4382
person
Provider Profile Details
NPI Number
1043728249
Provider Name
Dmitriy Vladimirovich Bazaron
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
2901 Transport St Se, Albuquerque, NM, 87106-4382
Phone Number
505-255-1717
Fax Number
505-266-9362
Provider Enumeration Date
01/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2901 Transport St Se
City
State
Zip
87106-4382
Phone Number
505-255-1717
Fax Number
505-266-9362
person
Provider Business Mailing Address Details
Address
2901 Transport St Se
City
State
Zip
87106-4382
Phone Number
505-255-1717
Fax Number
505-266-9362
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
CNP-03476 (New Mexico)
Definition
Definition to come...
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