Organization
ALAMOSA FOOT AND NAIL CARE MEDICAL SERVICES
Active
Organization
ALAMOSA FOOT AND NAIL CARE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL ANN BIRDSONG NP (NURSE PRACTITIONER/OWNER)
(281) 684-9575
Entity
Organization
Contact information
Practice address
1991 CARROLL ST, ALAMOSA, CO 81101-2003
(719) 589-4952
(719) 589-5651
Mailing address
PO BOX 732, ALAMOSA, CO 81101-0732
(281) 684-9575
(719) 589-2246
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0110549
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457540189
INDIVIDUAL NPI
TX
Enumeration date
05/13/2014
Last updated
05/13/2014
Update your record
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