Individual
DAWN WULF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 W COUNTRY CLUB RD, ROSWELL, NM 88201-5211
(575) 914-0055
Mailing address
607 W COUNTRY CLUB RD, ROSWELL, NM 88201-5211
(575) 914-0055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02765
NM
Other
Enumeration date
09/15/2015
Last updated
01/13/2020
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