person
Mr. Ethan Blackney-lopez, AG-ACNP
Acute Care Nurse Practitioner in Albuquerque, New Mexico
NPI 1619697570

Ethan Blackney-lopez is an Acute Care Nurse Practitioner based in Los Lunas, NM and is specialized in Acute Care. Ethan Blackney-lopez practices in Albuquerque, NM and has the professional credentials of AG-ACNP. The NPI Number for Ethan Blackney-lopez is 1619697570 and holds a License No. 69604 (New Mexico).

The current practice location address for Ethan Blackney-lopez is 2211 Lomas Blvd Ne, Albuquerque, NM and can be reached out via phone at 505-272-2711.

Location: 2211 Lomas Blvd Ne, Albuquerque, NM, 87031-6948
person
Provider Profile Details
NPI Number
1619697570
Provider Name
Ethan Blackney-lopez
Credential
AG-ACNP
Provider Entity Type
Individual
Gender
Male
Address
2211 Lomas Blvd Ne, Albuquerque, NM, 87031-6948
Phone Number
505-272-2711
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2211 Lomas Blvd Ne
City
State
Zip
87106-2719
Phone Number
505-272-2711
Fax Number
person
Provider Business Mailing Address Details
Address
2211 Lomas Blvd Ne
City
State
Zip
87106-2719
Phone Number
505-272-2711
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
69604 (New Mexico)
Definition
Definition to come...
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