Provider Demographics
NPI:1528869393
Name:GENGLER, CHASTITY CHRISTINE (ACNPC-NP)
Entity type:Individual
Prefix:
First Name:CHASTITY
Middle Name:CHRISTINE
Last Name:GENGLER
Suffix:
Gender:F
Credentials:ACNPC-NP
Other - Prefix:
Other - First Name:CHASTITY
Other - Middle Name:CHRISTINE
Other - Last Name:CUVELIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6403 TOWHEE AVE # 88012
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-7082
Mailing Address - Country:US
Mailing Address - Phone:575-639-2964
Mailing Address - Fax:
Practice Address - Street 1:2450 S TELSHOR BLVD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-5069
Practice Address - Country:US
Practice Address - Phone:575-522-8641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM56243363LA2100X, 363L00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program