Individual
GRACIE ORDORICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 556-6915
(575) 556-6919
Mailing address
4604 MESA CENTRAL DR, LAS CRUCES, NM 88011-7270
(575) 649-0514
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
CNP00598
NM
Other
Enumeration date
04/04/2006
Last updated
11/20/2022
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