Individual
MRS. SUSAN NANCY GOEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 MADEIRA DRIVE S.E., ALBUQUERQUE, NM 87108
(505) 262-1538
Mailing address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1538
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R29441
NM
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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