Individual
DOLORES CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2170 E LOHMAN AVE STE A, LAS CRUCES, NM 88001-8411
(056) 818-2955
Mailing address
2170 E LOHMAN AVE STE A, LAS CRUCES, NM 88001-8411
(056) 818-2955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R37615
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP02003
NM
Other
Enumeration date
07/13/2012
Last updated
09/11/2020
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