Individual
MS. CAROLYN MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
COLLEGE OF NURSING MSC O9 5350, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-8875
Mailing address
4702 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-5804
(505) 255-1896
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R15539
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000092270
—
NM
Enumeration date
07/13/2005
Last updated
11/06/2011
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