Provider Demographics
NPI:1215984174
Name:KUCHLER, ELIZABETH GAIL (APRN-BC FNP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:GAIL
Last Name:KUCHLER
Suffix:
Gender:F
Credentials:APRN-BC FNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1920 TURRENTINE DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-3347
Mailing Address - Country:US
Mailing Address - Phone:505-541-8660
Mailing Address - Fax:
Practice Address - Street 1:1920 TURRENTINE DR
Practice Address - Street 2:540 WALTON SUITE C
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3347
Practice Address - Country:US
Practice Address - Phone:505-541-8660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR22072363LF0000X
NMCNP00375363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily