Individual
GAYLE RAYE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 N PEARL ST, DEMING, NM 88030-3835
(575) 517-2725
Mailing address
111 N PEARL ST, DEMING, NM 88030-3835
(575) 571-2725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
84397
NM
Other
Enumeration date
06/10/2025
Last updated
03/24/2026
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