Individual
CORTNEY DAWN MINER PREATOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
325 N BERGIN LN, BLOOMFIELD, NM 87413-6729
(505) 634-3673
(505) 634-3675
Mailing address
325 N BERGIN LN, BLOOMFIELD, NM 87413-6729
(505) 634-2121
(505) 634-3675
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
850
WY
163WS0200X
School Registered Nurse
Primary
74947
NM
Other
Enumeration date
07/31/2008
Last updated
08/14/2023
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