Individual
MEGAN DEMOUY-LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87131-1208
(505) 272-0621
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87131-1208
(505) 272-0621
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
63475
NM
Other
Enumeration date
04/13/2021
Last updated
04/15/2021
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