Individual
TARA LYNN GREENWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1501 10TH ST, ALAMOGORDO, NM 88310-5044
(575) 434-2960
(575) 434-8724
Mailing address
1501 10TH ST, ALAMOGORDO, NM 88310-5044
(575) 434-2960
(575) 434-8724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61454
NM
Other
Enumeration date
11/20/2020
Last updated
08/12/2022
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