Individual
PATRICIA A DREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
54 EASY ST, TIJERAS, NM 87059-8002
(505) 620-1733
Mailing address
54 EASY ST, TIJERAS, NM 87059-8002
(505) 620-1733
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-02304
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP-02304
CNP LICENSE
NM
Enumeration date
02/04/2014
Last updated
07/01/2019
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