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Contact Information

LADONNA L CHACON, AGPCNP-C
402 E MIEL DE LUNA AVE
TUCUMCARI, NM88401-3828
 Phone: 575-461-7100
 Fax: 575-461-7101
 Website:
 

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
Indicates primary specialty

NPI Profile & details for LADONNA L CHACON · (Female)

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
  • NM License # CNP-02602
  • NM License # R32046
Hospital affiliation(s)
  • DR DAN C TRIGG MEMORIAL HOSPITAL - (Critical Access)
    301 EAST MIEL DE LUNA AVENUE
    TUCUMCARI, NM 88401
  • PLAINS REGIONAL MEDICAL CENTER CLOVIS - (Acute Care)
    2100 N MARTIN LUTHER KING, JR, BLVD
    CLOVIS, NM 88101
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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