NPI 1083264592

Clay Church, NP

Practitioner Family Nurse Practitioner Farmington, NM

Practice location

Address: 801 W Maple St, Farmington, NM 87401-5630
Phone: (505) 609-2000
Mailing address: PO Box 6210, Farmington, NM 87499-6210

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 57227 (NM)

Other Nurse Practitioner providers in New Mexico →

Registry record

NPI: 1083264592
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Sep 2019
Record last updated: 17 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.