Individual
ROSELLA M VIALPANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3900 E LOHMAN AVE STE B, LAS CRUCES, NM 88011
(575) 522-5752
(575) 522-5722
Mailing address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
(505) 998-7741
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R30827
NM
208000000X
Pediatrics Physician
R30827
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP00627
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S6225
—
NM
Enumeration date
08/01/2006
Last updated
07/03/2018
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