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Contact Information

MIRNA M CHAVEZ, FNP
4010 MONTGOMERY BLVD NE
ALBUQUERQUE, NM87109-1186
 Phone: 505-254-6100
 Fax: 505-254-6532
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MIRNA M CHAVEZ · (Female)

NPI # 1669155495
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/09/2023
Last updated 11/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # 0000000000
Hospital affiliation(s) Not Available
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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