Individual
RU SI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
407 S SCHWARTZ AVE STE 202, FARMINGTON, NM 87401-5925
(505) 609-6770
Mailing address
204 E VALLEY VIEW DR, BAYFIELD, CO 81122-9297
(573) 275-9396
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.1002112-NP
CO
Other
Enumeration date
07/10/2026
Last updated
07/30/2026
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