JUDITH L. GILLUM

RIO RANCHO, NM
NPI1447359138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NM  CNP00153)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: NM  R14939)
Enumeration Date2006-09-21
Last Update Date2018-03-21
Business Address
Ms. JUDITH L. GILLUM R.N., C.N.P.
4100 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124-5901
Phone number: 505-462-8517
Mailing Address
Ms. JUDITH L. GILLUM R.N., C.N.P.
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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