Fresquez-Chavez, Kathy Rebecca
Fresquez-Chavez, Kathy Rebecca is an sole proprietor health care provider with primary practice located at 328 Main St Ne , Los Lunas NM 87031-7454. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fresquez-Chavez, Kathy Rebecca can be contacted via phone (505) 916-5167.Contact Information
Primary practice address
328 Main St Ne
Los Lunas NM 87031-7454
Phone: (505) 916-5167
Fax: (505) 916-5170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R37352 | New Mexico |
Profile Details
| NPI number | 1497762983 |
|---|---|
| LBN Legal business name | Fresquez-Chavez, Kathy Rebecca |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | May 23rd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497762983 | NPPES |
| New Mexico | MEDICAID | 84304235 |
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