ROGER LOUIS GAVI


Address: 3604 Cameo Dr Se, Albuquerque, NM 87105-0204
Phone: 5053401171

ROGER LOUIS GAVI (NPI# 1770814915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770814915
Entity Type Individual
Full Name ROGER LOUIS GAVI
Credential RN
Practice Address 3604 Cameo Dr Se
Albuquerque
NM 87105-0204
Practice Telephone 5053401171
Mailing Telephone 5053401171
Enumeration Date 2010-01-28
Last Update Date 2010-01-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0600X Registered Nurse
Specialization: Gerontology
R59159 NM Nursing Service Providers
N 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
R59159 NM Nursing Service Providers

Office Location

Street Address 3604 CAMEO DR SE
City ALBUQUERQUE
State NM
Zip Code 87105-0204

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Taxonomy Information

Taxonomy Code 163WG0600X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639505712 Rio Grande Geriatrics and Family Practice LLC Registered Nurse 8328 Cascade Park Ave Nw, Albuquerque, NM 87120-6523 2013-09-19
1255480828 Sara Louise Santilli Registered Nurse 4253 Montgomery Blvd Ne, Suite 100, Albuquerque, NM 87109-1106 2007-01-10

Competitor

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City ALBUQUERQUE
Zip Code 87105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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