Organization · Type 2 NPI

Petroglyph Primary Care and Consulting LLC

Primary Care Nurse Practitioner · Las Vegas, NM

NPI number 1891578340 Active

Practice location

525 Chavez St
Las Vegas, NM 87701-3221

Call (505) 819-8434 Map

Mailing address

6512 Pato Rd NW
Albuquerque, NM 87120-7007

Specialties and licenses

Taxonomy	Code	License
Primary Care Nurse Practitioner Primary	363LP2300X	None listed

Primary Care Nurse Practitioner: Definition to come...

NPI record

NPI: 1891578340
Entity type: Organization (Type 2)
Issued: Aug 17, 2023
Last updated: Jan 13, 2024
Status: Active

Other names

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Petroglyph Primary Care · doing business as
Petroglyph Primary Care · doing business as

Authorized official

Michael M Archuleta, DNP, APRN, AGACNP-BC
Nurse Practitioner
(505) 502-4401

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891578340

Petroglyph Primary Care and Consulting LLC's National Provider Identifier is 1891578340, issued on Aug 17, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Las Vegas, NM. The record was last updated on Jan 13, 2024.