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
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