LISA ANNE ETHRIDGE

ALBUQUERQUE, NM
NPI1467005140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  57020)
Enumeration Date2019-07-22
Last Update Date2022-12-28
Business Address
LISA ANNE ETHRIDGE
1625 RIO BRAVO BLVD SW STE 36
ALBUQUERQUE, NM 87105-6060
Phone number: 505-777-3004
Mailing Address
LISA ANNE ETHRIDGE
PO BOX 740018
ATLANTA, GA 30374-0018
Phone number: 773-759-7550
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