| C Belcher Msn, Rn, Fnp-bc, Cen, Llc | |
|
2513 Fred Daugherty Ave Clovis NM 88101-8615 | |
| (575) 760-0160 | |
| Not Available |
| Full Name | C Belcher Msn, Rn, Fnp-bc, Cen, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2513 Fred Daugherty Ave, Clovis, New Mexico |
| Authorized Official Name and Position | Constance C Belcher (OWNER/PROVIDER) |
| Authorized Official Contact | 5757600160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C Belcher Msn, Rn, Fnp-bc, Cen, Llc 2513 Fred Daugherty Ave Clovis NM 88101-8615 Ph: () - | C Belcher Msn, Rn, Fnp-bc, Cen, Llc 2513 Fred Daugherty Ave Clovis NM 88101-8615 Ph: (575) 760-0160 |
| NPI Number | 1316452972 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 12/05/2017 |
| Medicare PECOS PAC ID | 9234497389 |
|---|---|
| Medicare Enrollment ID | O20171218002790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316452972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 65513 (New Mexico) | Primary |
| Provider Name | Constance C Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780778159 PECOS PAC ID: 5799727509 Enrollment ID: I20050613000998 |
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