Individual
MS. JOAN Q MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
3917 WEST RD, SUITE 150, LOS ALAMOS, NM 87544-2275
(505) 662-4351
(505) 662-2932
Mailing address
3917 WEST RD, SUITE 150, LOS ALAMOS, NM 87544-2275
(505) 662-4351
(505) 662-2932
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R30440
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009444161
PHCS
—
01
—
100005460
LOVELACE
—
01
—
2202010923
PRESBYTERIAN HEALTH PLANS
—
01
—
2385852
UHC
—
05
—
97528
—
NM
01
—
NM006287
BCBS NM
NM
01
—
PROVP14420
MOLINA
—
Enumeration date
07/13/2006
Last updated
03/05/2013
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