Organization
ROSWELL FAMILY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH SCHEAR (OFFICE MANAGER)
(719) 203-5023
Entity
Organization
Contact information
Practice address
614 N MAIN ST, ROSWELL, NM 88201-4824
(719) 203-5023
(719) 503-5024
Mailing address
614 N MAIN ST, ROSWELL, NM 88201-4824
(719) 203-5023
(719) 503-5024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15454380
—
NM
Enumeration date
01/05/2012
Last updated
01/26/2016
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