| NPI | 1831437441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA GREEN Family Nurse Practitioner 575-941-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01226) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2024-03-12 |