NPI Profile for LADONNA L CHACON in TUCUMCARI, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1326441346 |
|
| Status | Active | |
| Credentials | AGPCNP-C | |
| Entity | Individual | |
| Enumeration date | 10/04/2014 | |
| Last updated | 11/20/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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LADONNA L CHACON
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