institution
Active Medical Group Llc
Family Nurse Practitioner in Farmington, New Mexico
NPI 1992408520

Active Medical Group Llc is a Family Nurse Practitioner based in Farmington, NM and is specialized in Family. Active Medical Group Llc practices in Farmington, NM. The NPI Number for Active Medical Group Llc is 1992408520 and holds a License No. (New Mexico).

The current practice location address for Active Medical Group Llc is 4760 N Butler Ave Ste D, Farmington, NM and can be reached out via phone at 505-370-1201 and via fax at 505-461-1779.

Location: 4760 N Butler Ave Ste D, Farmington, NM, 87401-0816
institution
Provider Profile Details
NPI Number
1992408520
Provider Name
Active Medical Group Llc
Credential
Provider Entity Type
Organization
Address
4760 N Butler Ave Ste D, Farmington, NM, 87401-0816
Phone Number
505-370-1201
Fax Number
505-461-1779
Provider Enumeration Date
03/23/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4760 N Butler Ave Ste D
City
State
Zip
87401-0816
Phone Number
505-370-1201
Fax Number
505-461-1779
person
Provider Business Mailing Address Details
Address
4760 N Butler Ave Ste D
City
State
Zip
87401-0816
Phone Number
505-370-1201
Fax Number
505-461-1779
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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