Healthcare Provider Details

I. General information

NPI: 1164209862
Provider Name (Legal Business Name): MRS. FRANCES MARIA ABEYTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2023
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 ENCINO PL NE STE D7
ALBUQUERQUE NM
87102-2644
US

IV. Provider business mailing address

8513 4TH ST NW
LOS RANCHOS NM
87114-1401
US

V. Phone/Fax

Practice location:
  • Phone: 505-207-6526
  • Fax:
Mailing address:
  • Phone: 505-206-8144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN-89669
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number77117
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: