THERESA IRENE WUSSOW

ALBUQUERQUE, NM
NPI1831617265
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NM  CNP-03307)
Enumeration Date2017-09-06
Last Update Date2017-10-05
Business Address
THERESA IRENE WUSSOW FNP-BC
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-933-2272
Mailing Address
THERESA IRENE WUSSOW FNP-BC
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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