# ALAMOSA FOOT AND NAIL CARE MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144631052
- **Authorized official:** CRYSTAL ANN BIRDSONG NP (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (281) 684-9575

## Contact information

- **Practice address:** 1991 CARROLL ST, ALAMOSA, CO 81101-2003
- **Practice address phone:** (719) 589-4952
- **Practice address fax:** (719) 589-5651
- **Mailing address:** PO BOX 732, ALAMOSA, CO 81101-0732
- **Mailing address phone:** (281) 684-9575
- **Mailing address fax:** (719) 589-2246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 0110549 | CO | Yes |

## Other

- **Enumeration date:** 05/13/2014
- **Last updated:** 05/13/2014
