Individual
CARRIE LINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5300 FOOTHILLS DR, FARMINGTON, NM 87402-8279
(505) 599-8604
Mailing address
5300 FOOTHILLS DR, FARMINGTON, NM 87402-8279
(505) 599-8604
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
81935
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN-81935
RN LICENSE
NM
Enumeration date
09/07/2021
Last updated
09/07/2021
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