Individual
MARY ANN PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1123 E GREEN ACRES DR, HOBBS, NM 88240-4727
(806) 283-4548
Mailing address
1123 E GREEN ACRES DR, HOBBS, NM 88240-4727
(806) 283-4548
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
CNP-02579
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538552070
—
NM
Enumeration date
06/19/2019
Last updated
06/19/2019
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