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PETROGLYPH PRIMARY CARE
NPI 1891578340
Nurse Practitioner - Primary Care in Las Vegas, NM

Active since August 17, 2023
525 CHAVEZ ST, LAS VEGAS, NM 87701(505) 819-8434 Get Directions Write a Review

NPPES record last updated: January 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Petroglyph Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETROGLYPH PRIMARY CARE (NPI 1891578340) is a healthcare organization registered as a primary care in Las Vegas, New Mexico and active in the NPI registry since August 2023. The organization lists Michael M Archuleta, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1891578340
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePETROGLYPH PRIMARY CARE AND CONSULTING LLC
Location Address525 CHAVEZ STLas Vegas, NM 87701-3221
Mailing Address6512 Pato Rd NwAlbuquerque, NM 87120-7007 · (505) 502-4401
Phone(505) 819-8434
Organization SubpartNo
Authorized OfficialMichael M ArchuletaNurse Practitioner · (505) 502-4401
Enumeration DateAugust 17, 2023
Last NPPES UpdateJanuary 13, 2024
NPPES CertifiedJanuary 13, 2024
✔ NPI 1891578340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
525 CHAVEZ ST, Las Vegas, NM 87701
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Other Names 1

Doing Business AsPetroglyph Primary Care

Other Identifiers 1

Medicaid70802777NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petroglyph Primary Care And Consulting LLC's NPI number?

The NPI number for Petroglyph Primary Care And Consulting LLC is 1891578340. It was assigned to this organization in the NPPES registry on August 17, 2023. The provider is doing business as Petroglyph Primary Care.

Where is Petroglyph Primary Care And Consulting LLC located?

Petroglyph Primary Care And Consulting LLC is located at 525 Chavez St, Las Vegas, NM 87701. The listed phone number is (505) 819-8434.

What is Petroglyph Primary Care And Consulting LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Petroglyph Primary Care And Consulting LLC was last updated on January 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.