Healthcare Provider Details

I. General information

NPI: 1497642995
Provider Name (Legal Business Name): TOTAL HEALING CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10432 WOODQUAIL DR NW
ALBUQUERQUE NM
87114-1345
US

IV. Provider business mailing address

10432 WOODQUAIL DR NW
ALBUQUERQUE NM
87114-1345
US

V. Phone/Fax

Practice location:
  • Phone: 505-569-9463
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHAUNTE ABE
Title or Position: OWNER
Credential: FNP-C
Phone: 505-569-9463