Laiven Jean de Chantal
Laiven Jean de Chantal is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2022, 4 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.
- Years since qualifying
- 4
- Licensed in
- NM
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1509 University Blvd NEAlbuquerque, NM 87102-1708
Phone: (505) 231-1650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 75171 (NM) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 75171 (NM) |
Record details
| NPI number | 1144009333 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 26, 2023 |
| Last updated in NPPES | September 26, 2023 |
| Certification date | September 26, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
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