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NPI Profile for TAOS MUNICIPAL SCHOOLS SCHOOL BASED HEALTH CENTERS in TAOS, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
363LS0200X | 50 | Nurse Practitioner |
| NPI # | 1740331370 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/12/2007 | |
| Last updated | 08/22/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TAOS MUNICIPAL SCHOOLS SCHOOL BASED HEALTH CENTERS