Malvin Duran Acebuche, NP
Individual provider Active NPI Acute Care Nurse Practitioner · Farmington, NM
NPI 1306536503 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1306536503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 818506 (NV)
- Practice address
- 401 Nelson Ave
Farmington, NM 87401-3362 - Phone
- (917) 972-6925
- NPI assigned
- May 10, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R63659 | NM | MD | Emergency Registered Nurse |
| 84811 | NM | MD | Acute Care Nurse Practitioner |
| 818506 | NV | MD | Acute Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | R63659 | NM | |
| Home Health Registered Nurse | 163WH0200X | R63659 | NM | |
| Acute Care Nurse Practitioner | 363LA2100X | 84811 | NM | |
| Acute Care Nurse Practitioner | 363LA2100X | 818506 | NV | Yes |
Addresses
Primary practice location
401 Nelson Ave
Farmington, NM 87401-3362
Mailing address
401 Nelson Ave Apt 1104
Farmington, NM 87401-3366
Phone (917) 972-6925
Other practice location 1
N7, Corner of Routes N12
Fort Defiance, AZ 86504
Phone (192) 872-9800
Other practice location 2
3535 Las Vegas Blvd S Ste G101
Las Vegas, NV 89109-8921
Phone (702) 778-2800
Other providers in Farmington, NM
- Abaton Counseling LLC
- Rita Abboud
- Tia Leigh Abeita
- Holly Abernethy
- Nicole Adele Abney
- Reid Ackerman
- Katelyn Ackley
- Act Now DME LLC
- Activate Behavioral Health LLC
- Active Medical Group LLC
All providers in Farmington, NM · Acute Care Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.