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NPI Code Detail

MEDICARE: STEPHANIE ABEYTA CNP

MEDICARE: STEPHANIE ABEYTA CNP
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
1363LF0000XFamily Nurse PractitionerCNP-53607NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801211495
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ABEYTA CNP
Provider Business Mailing Address
First Line : 3911 4TH ST NW STE B
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-2510
Country : US
Telephone Number : 505-433-4493
Fax Number :
Provider Business Practice Location Address
First Line : 700 2ND ST NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-1578
Country : US
Telephone Number : 505-884-4464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2014
Last Update Date : 05/09/2019

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Directions to “ STEPHANIE ABEYTA CNP” Practice Location

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