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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KOURTNEY ANNA CHAIRES, NP

Active

Family Nurse Practitioner · WHITE SANDS MISSILE RANGE, NM

Registration Details

NPI Number
1497009203
Provider Type
Individual
Gender
Female
NPI Issued
Oct 31, 2012 (13.47127245203 yrs)
Last Updated
Feb 12, 2025
License
CNP-02110 (NM)

Practice Information

Address
1363 ABERDEEN AVE
WHITE SANDS MISSILE RANGE, NM, 88002
Browse NM providers · Browse ZIP 88002
Phone
5756743500
Fax
9157427459
Primary Specialty
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.