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Contact Information

ENMU-ROSWELL
809 W ALAMEDA ST
ROSWELL, NM88203-3801
 Phone: 505-625-6975
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ENMU ROSWELL · (Female)

NPI Number 1275531535
Status Active
Credentials
Entity Individual
Enumeration date 07/11/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 10725
  • NM License # 30665
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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