Individual provider · Type 1 NPI
Antonio Tavitas, BC-FNP
Family Nurse Practitioner · Albuquerque, NM
NPI number
1104202308
Active
Practice location
1100 Central Ave SE
Albuquerque, NM 87106-4930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | CNP-02706 (NM) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104202308
Antonio Tavitas, BC-FNP's National Provider Identifier is 1104202308, issued on Aug 11, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Albuquerque, NM. The record was last updated on Oct 29, 2024.