ACTIVE MEDICAL GROUP LLC

Nurse Practitioner - Family

Active Organization
NPI: 1992408520

Practice Address

4801 N BUTLER AVE STE 8102
Farmington, NM 87401

Phone: (505) 370-1201

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes -

Frequently Asked Questions

NPI 1992408520 is the National Provider Identifier for ACTIVE MEDICAL GROUP LLC, a Nurse Practitioner - Family provider located in Farmington, NM. This NPI was enumerated on March 23, 2023.

Quick Facts

NPI
1992408520
Type
Organization
Enumerated
Mar 23, 2023
Last Updated
Jan 16, 2025

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