Individual
MYRNA M GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2929 COORS BLVD NW, SUITE 200, ALBUQUERQUE, NM 87120-1173
(505) 839-2328
(505) 839-2303
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
(505) 839-2300
(505) 839-2303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP00260
NM
363LF0000X
Family Nurse Practitioner
Primary
R18208
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H4698
—
NM
Enumeration date
07/26/2006
Last updated
09/17/2019
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