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Individual

ANITA C GALLARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
114 W 11TH ST, SILVER CITY, NM 88061
(575) 388-1511
(575) 313-8234
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2618
(575) 542-2369

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03096
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43351514
NM
Enumeration date
12/01/2005
Last updated
07/10/2018
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