| NPI | 1255409728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY CAROL LEHRHAUPT Nurse Practitioner Manager 505-660-4399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM R42279) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |