| NPI | 1215197876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE MARIE VIGNOGNA BROWNE Nurse Practitioner 505-867-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NM CNP01442) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2014-04-29 |