person
Sopheavy S Prak, CFNP
Family Nurse Practitioner in Albuquerque, New Mexico
NPI 1841241189

Sopheavy S Prak is a Family Nurse Practitioner based in Corrales, NM and is specialized in Family. Sopheavy S Prak practices in Albuquerque, NM and has the professional credentials of CFNP. The NPI Number for Sopheavy S Prak is 1841241189 and holds a License No. R37588 (New Mexico).

The current practice location address for Sopheavy S Prak is 4808 Mcmahon Blvd Nw, Albuquerque, NM and can be reached out via phone at 505-272-2900 and via fax at 505-272-2909.

Location: 4808 Mcmahon Blvd Nw, Albuquerque, NM, 87048-9631
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Provider Profile Details
NPI Number
1841241189
Provider Name
Sopheavy S Prak
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
4808 Mcmahon Blvd Nw, Albuquerque, NM, 87048-9631
Phone Number
505-272-2900
Fax Number
505-272-2909
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 NM
institution
Provider Business Practice Location Address Details
Address
4808 Mcmahon Blvd Nw
City
State
Zip
87114-5010
Phone Number
505-272-2900
Fax Number
505-272-2909
person
Provider Business Mailing Address Details
Address
4808 Mcmahon Blvd Nw
City
State
Zip
87114-5010
Phone Number
505-272-2900
Fax Number
505-272-2909
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R37588 (New Mexico)
Definition
Definition to come...
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