Susette Eaves CFNP

NPI 1780690354 - Family Medicine - 207Q00000X

NPI Details
NPI 1780690354
Gender Female
Enumeration Date 08/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1231 CANDELARIA RD NW
M-I/FAMILY HEALTH, NW VALLEY
ALBUQUERQUE NM, 87107-2767, US
Phone (505) 272-2158
Fax
Business Location
1231 CANDELARIA RD NW
MSC09 5040
ALBUQUERQUE NM, 87107-2767, US
Phone (505) 272-2158
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New Mexico
License Number R21501
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According to our database, Susette Eaves CFNP NPI is 1780690354, taxonomy code is 207Q00000X and license number is R21501, license state is located at New Mexico. Susette Eaves CFNP physically located at 1231 Candelaria Rd Nw, Albuquerque NM, 87107-2767. NPI Number Susette Eaves CFNP has the Individual type.

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1780690354 NPI number is provided on an as is basis without warranty of any kind. 1780690354 is maintained by the National Plan & Provider Enumeration System. The contents of Susette Eaves CFNP are for informational purposes only.