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Deitra Gates, CNS
Adult Health Clinical Nurse Specialist in Albuquerque, New Mexico
NPI 1366865560

Deitra Gates is an Adult Health Clinical Nurse Specialist based in Albuquerque, NM and is specialized in Adult Health. Deitra Gates practices in Albuquerque, NM and has the professional credentials of CNS. The NPI Number for Deitra Gates is 1366865560 and holds a License No. CNS-00245 (New Mexico).

The current practice location address for Deitra Gates is 610 Broadway Blvd Ne, Albuquerque, NM and can be reached out via phone at 505-242-3991 and via fax at 505-243-8405.

Location: 610 Broadway Blvd Ne, Albuquerque, NM, 87102-2372
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Provider Profile Details
NPI Number
1366865560
Provider Name
Deitra Gates
Credential
CNS
Provider Entity Type
Individual
Gender
Female
Address
610 Broadway Blvd Ne, Albuquerque, NM, 87102-2372
Phone Number
505-242-3991
Fax Number
505-243-8405
Provider Enumeration Date
01/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
97304077 05 NM
institution
Provider Business Practice Location Address Details
Address
610 Broadway Blvd Ne
City
State
Zip
87102-2372
Phone Number
505-242-3991
Fax Number
505-243-8405
person
Provider Business Mailing Address Details
Address
610 Broadway Blvd Ne
City
State
Zip
87102-2372
Phone Number
505-242-3991
Fax Number
505-243-8405
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Adult Health
Taxonomy
License No.
CNS-00245 (New Mexico)
Definition
Definition to come...
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