Organization
CHRISTENE VANCOTT CNM CFNP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEARIE K BRUDER (BUSINESS DEVELOPMENT DIRECTOR)
(505) 647-8366
Entity
Organization
Contact information
Practice address
2905 HILLRISE DR, BLDG 2 UNIT A, LAS CRUCES, NM 88011-4701
(505) 532-6061
(505) 532-6063
Mailing address
PO BOX 1560, LAS CRUCES, NM 88004-1560
(505) 647-8366
(505) 647-8381
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R33894
NM
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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