Organization · Type 2 NPI
Active Medical Group LLC
Family Nurse Practitioner · Farmington, NM
NPI number
1992408520
Active
Practice location
4801 N Butler Ave Ste 8102
Farmington, NM 87401-0818
Fax (505) 461-1779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Farmington
About NPI 1992408520
Active Medical Group LLC's National Provider Identifier is 1992408520, issued on Mar 23, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Farmington, NM. The record was last updated on Oct 22, 2026.