Search › New Mexico › 164W00000X
Mackenna Havenor
NPI 1942994942 · on the registry since 2023
Practice
- Address
- 2216 Lester Dr Ne
Albuquerque, NM 87112 - Phone
- (505) 296-4808
- Organisation at this address
- Arbor Brook Llc
2216 Lester Drive Opco, Llc
Altea Medical New Mexico Llc
St. John Healthcare And Rehabilitation Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico