| Chevannes Clinic Solutions, Llc | |
|
817 W Broadway Ste A Farmington NM 87401-5699 | |
| (505) 258-4867 | |
| (505) 398-8748 |
| Full Name | Chevannes Clinic Solutions, Llc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 817 W Broadway Ste A, Farmington, New Mexico |
| Authorized Official Name and Position | Angella Dionne Clarke (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 5052584867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chevannes Clinic Solutions, Llc 817 W Broadway Ste A Farmington NM 87401-5699 Ph: (505) 258-4867 | Chevannes Clinic Solutions, Llc 817 W Broadway Ste A Farmington NM 87401-5699 Ph: (505) 258-4867 |
| NPI Number | 1013737261 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013737261 | NPI | - | NPPES |
| 12870277 | Medicaid | NM | |
| 1851839740 | Other | NM | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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