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Active NPI 1962714410 Organization (Entity Type 2)

Clovis Quickcare Llc

Nurse Practitioner - Family • Clovis, NM

About Clovis Quickcare Llc NPI 1962714410 Summary

Clovis Quickcare Llc is a verified healthcare organization specializing in Nurse Practitioner - Family operating in Clovis, NM. Located at 2000 W 21ST ST STE E3, this facility provides patient care and medical services under National Provider Identifier (NPI) 1962714410.

Administrative operations and authorized compliance are overseen by Debra Cyphert (Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

2000 W 21st St Ste E3

Clovis, NM 881014093

Telephone 5757692533

Fax 5757691735

Authorized Official Information

Authorized Contact Name

MRS. Debra Cyphert , FNP-BC

Title / Role

Owner

Official Telephone

5757692533

Facility Classifications & Specialties

Nurse Practitioner - Family Primary Taxonomy

NUCC Taxonomy Code: 363LF0000X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

David Estabillo , FNP NPI 1730427014

Nurse Practitioner - Family

Clovis, NM

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active July 21, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 21, 2010

Registered at 2000 W 21ST ST STE E3, CLOVIS, NM 881014093 (Tel: 5757692533)

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Updated Business Mailing Address July 21, 2010

Registered at 2000 W 21ST ST STE E3, CLOVIS, NM 881014093 (Tel: 5757692533)

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Organization / Clinic Name Updated July 21, 2010

Operating as CLOVIS QUICKCARE LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2010

Nurse Practitioner (License #0383007 in NM)

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Initial NPI Registration & Enumeration July 12, 2010

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1962714410

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: July 12, 2010

Last Update: July 21, 2010

Update or Correct Listing

Mailing Address

2000 W 21st St Ste E3

Clovis, NM 881014093

Phone: 5757692533

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.