Individual
MISS ELIZABETH NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109
(505) 998-7400
Mailing address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
(505) 998-7741
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
53704
NM
Other
Enumeration date
08/21/2018
Last updated
08/27/2018
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