| NPI | 1871884023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI PADGETT Fnp Bc/ President, CEO 505-716-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R55878) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |