Individual provider · Type 1 NPI
Larry Alonso, FNP-BC
Family Nurse Practitioner · San Fidel, NM
NPI number
1861414914
Active
Practice location
Acoma-Acoma-Laguna Hospital, Exit 102 Off Hwy I-40
San Fidel, NM 87049
Mailing address
10221 Green River Pl NW
Albuquerque, NM 87114-3966
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R54136 (NM) |
Family Nurse Practitioner: Definition to come...
About NPI 1861414914
Larry Alonso, FNP-BC's National Provider Identifier is 1861414914, issued on Jul 24, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Fidel, NM. The record was last updated on Jul 8, 2007.