IndividualActive
Andre Chepetan
NPI 1780286344 · Certified Registered Nurse Anesthetist · Albuquerque, NM
Provider details
- NPI number
- 1780286344
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1029382 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6709 Academy Rd Ne Ste a
Albuquerque, NM 87109-3363
Phone: (505) 308-3145
Fax: (505) 308-3147
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 845347
Dallas, TX 75284-5347
Additional practice locations (1)
- 5323 Harry Hines BlvdDallas, TX 75390-7201Phone: (214) 648-6400Fax: (214) 648-5461
Registry dates
- Enumerated
- 2020-11-09
- Last updated
- 2024-08-25
- Certified
- 2024-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.