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Individual

MS. JOANNE M BARTRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
2211 LOMAS NE, ALBUQUERQUE, NM 87131
(505) 272-8950
(505) 272-3202
Mailing address
1650 UNIVERSITY NE, SUITE 220, ALBUQUERQUE, NM 87102
(505) 272-8950
(505) 272-3202

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R28620
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00023256
CO
05
810300
AZ
05
A4995
NM
Enumeration date
07/12/2006
Last updated
07/08/2007
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