Individual
AILEEN C SWOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
166 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-3626
(877) 592-0809
Mailing address
117 CAMINO DE VIDA STE 300, SANTA ROSA, NM 88435-2267
(575) 472-4311
(877) 592-0809
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R59057
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04301536
—
NM
01
—
724825
MEDICARE
NM
Enumeration date
06/22/2011
Last updated
02/15/2024
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