Individual
BRANDI OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8800 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2310
(505) 462-6400
Mailing address
1909 SANTA ANA RD NE, RIO RANCHO, NM 87144-4659
(505) 620-6933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
68264
NM
Other
Enumeration date
01/06/2023
Last updated
03/01/2023
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