institution
Petroglyph Primary Care And Consulting Llc
Primary Care Nurse Practitioner in Las Vegas, New Mexico
NPI 1891578340

Petroglyph Primary Care And Consulting Llc is a Primary Care Nurse Practitioner based in Albuquerque, NM and is specialized in Primary Care. Petroglyph Primary Care And Consulting Llc practices in Las Vegas, NM. The NPI Number for Petroglyph Primary Care And Consulting Llc is 1891578340 and holds a License No. (New Mexico).

The current practice location address for Petroglyph Primary Care And Consulting Llc is 525 Chavez St, Las Vegas, NM and can be reached out via phone at 505-819-8434.

Location: 525 Chavez St, Las Vegas, NM, 87120-7007
institution
Provider Profile Details
NPI Number
1891578340
Provider Name
Petroglyph Primary Care And Consulting Llc
Credential
Provider Entity Type
Organization
Address
525 Chavez St, Las Vegas, NM, 87120-7007
Phone Number
505-819-8434
Fax Number
Provider Enumeration Date
08/17/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70802777 05 NM
institution
Provider Business Practice Location Address Details
Address
525 Chavez St
City
State
Zip
87701-3221
Phone Number
505-819-8434
Fax Number
person
Provider Business Mailing Address Details
Address
525 Chavez St
City
State
Zip
87701-3221
Phone Number
505-819-8434
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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