Individual
SUSAN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 846-3200
Mailing address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95006876
CA
Other
Enumeration date
09/30/2014
Last updated
07/15/2024
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