Individual
MS. ELIZABETH M ETHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-7248
(505) 262-3190
Mailing address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-7960
(505) 232-1368
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP04157
NM
Other
Enumeration date
05/31/2006
Last updated
06/25/2015
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