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CLOVIS QUICKCARE LLC NPI 1962714410


NPI Information

NPI: 1962714410
Provider Name: CLOVIS QUICKCARE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2000 W 21ST ST STE E3
CLOVIS, NM
ZIP 88101
Phone: (575) 769-2533
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CLOVIS QUICKCARE LLC is a family nurse practitioner in Clovis, NM. CLOVIS QUICKCARE LLC NPI is 1962714410. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2000 W 21ST ST STE E3
CLOVIS, NM
ZIP 88101-093
Phone: (575) 769-2533
Fax: (575) 769-1735

The provider's authorized official is Debra Lee Cyphert .
The authorized official title is Owner and has the following contact phone number (575) 769-2533.

The enumeration date for this NPI number is 7/12/2010 and was last updated on 7/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily0383007NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11982601498OTHERNEW MEXICOINDIVIDUAL NPI #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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