| NPI | 1275075665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA C FULLER Acute Care Nurse Practitioner 505-450-9185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 209014987) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |