Individual provider · Type 1 NPI
Kourtney Anna Chaires, NP
Family Nurse Practitioner · White Sands Missile Range, NM
NPI number
1497009203
Active
Practice location
1363 Aberdeen Ave
White Sands Missile Range, NM 88002
Fax (915) 742-7459
Mailing address
PO Box 370
Hatch, NM 87937-0370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | CNP-02110 (NM) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1497009203
Kourtney Anna Chaires, NP's National Provider Identifier is 1497009203, issued on Oct 31, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in White Sands Missile Range, NM. The record was last updated on Feb 12, 2025.