| NPI | 1972528891 |
|---|---|
| Doing Business As | VDEX DIABETES |
| Entity Type | Organization |
| Authorized Contact | AMBER BRYANT Executive Administrator 575-488-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 98-288) |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-11-14 |