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Individual

SAVANNA LEE NOEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
715 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3661
(505) 727-7096
(505) 727-7090
Mailing address
715 DR MARTIN LUTHER KING JR AVE NE STE 301, ALBUQUERQUE, NM 87102-3668
(505) 727-7090
(505) 727-9590

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
RN-79111
NM
363L00000X
Nurse Practitioner
Primary
69239
NM

Other

Enumeration date
07/11/2022
Last updated
08/24/2022
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