SUSANN RAVESSOUD

LAS CRUCES, NM
NPI1477543759
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NM  CNP-01878)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  RN430276)
163W00000X Registered Nurse
(Licence: NM  RN-74298)
363L00000X Nurse Practitioner
(Licence: CA  NP10007)
Enumeration Date2005-10-26
Last Update Date2022-01-13
Business Address
SUSANN RAVESSOUD N.P.
3500 NORTHRISE DR
LAS CRUCES, NM 88011-7274
Phone number: 575-395-7246
Mailing Address
SUSANN RAVESSOUD N.P.
PO BOX 221530
EL PASO, TX 79913-4530
Phone number: 915-598-7246