Individual
EGLIS JANE PEREYRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 610-8069
Mailing address
5720 LOST DUTCHMAN ST NE, ALBUQUERQUE, NM 87111-5903
(505) 610-8069
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
61802
NM
Other
Enumeration date
10/19/2020
Last updated
06/15/2023
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