Individual
MRS. MEGHAN MARIE PARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
711 ENCINO PL NE STE D, ALBUQUERQUE, NM 87102-2650
(505) 224-7400
(505) 224-7404
Mailing address
90 MONICA RD, LOS LUNAS, NM 87031-7172
(505) 710-2260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53105
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53105
ADVANCED PRACTICE LICENSE
NM
01
—
RN-74191
REGISTERED NURSE LICENSE
NM
Enumeration date
07/08/2018
Last updated
01/09/2019
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