NPI Profile for SUSANN RAVESSOUD in LAS CRUCES, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1477543759 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 10/26/2005 | |
| Last updated | 01/13/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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SUSANN RAVESSOUD
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