Individual
EVA F TOELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
42121 US HWY 70, PORTALES, NM 88130-9347
(575) 356-6652
(575) 359-6827
Mailing address
PO BOX 299, PORTALES, NM 88130-0299
(575) 356-6652
(575) 359-6827
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
110307
NE
363L00000X
Nurse Practitioner
28326
NE
363L00000X
Nurse Practitioner
Primary
CNP-02419
NM
Other
Enumeration date
03/06/2007
Last updated
08/19/2014
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