Healthcare Provider Details

I. General information

NPI: 1790891240
Provider Name (Legal Business Name): MARIE ANETT SAUVE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIE ANNETTE SAUVE NP

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SAN PEDRO DR SE
ALBUQUERQUE NM
87108-3729
US

IV. Provider business mailing address

1609 SINGLETARY DR NE
ALBUQUERQUE NM
87112-4822
US

V. Phone/Fax

Practice location:
  • Phone: 505-265-1711
  • Fax: 505-256-5743
Mailing address:
  • Phone: 505-275-1726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR42024
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: