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NPI Code Detail

MEDICARE: LUXANA CHANPRAKRIT

MEDICARE: LUXANA CHANPRAKRIT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered NurseR31009NM

General Provider Information

NPI Number : 1497987044
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUXANA CHANPRAKRIT
Provider Business Mailing Address
First Line : 2551 COORS BLVD NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-1213
Country : US
Telephone Number : 505-338-3320
Fax Number : 505-338-3319
Provider Business Practice Location Address
First Line : 2552 COORS BLVD NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-2123
Country : US
Telephone Number : 505-338-3320
Fax Number : 505-338-3319
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2009
Last Update Date : 08/20/2009

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Directions to “ LUXANA CHANPRAKRIT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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