ACTIVE MEDICAL GROUP LLC
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1992408520- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4801 N BUTLER AVE STE 8102, FARMINGTON, NM, 874010818
- Phone
- (505) 370-1201
- Fax
- (505) 461-1779
Specialties & Taxonomies
Nurse Practitioner, Family
Primary