Healthcare Provider Details

I. General information

NPI: 1831545896
Provider Name (Legal Business Name): DENISE HOVET
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2016
Last Update Date: 05/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 MESA DEL RIO ST NW
ALBUQUERQUE NM
87121-1345
US

IV. Provider business mailing address

755 MESA DEL RIO ST NW
ALBUQUERQUE NM
87121-1345
US

V. Phone/Fax

Practice location:
  • Phone: 505-720-0239
  • Fax:
Mailing address:
  • Phone: 505-720-0239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberM-06640
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: