Individual
ANDREA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
607 W COUNTRY CLUB RD, ROSWELL, NM 88201-5211
(575) 208-7795
(575) 208-7785
Mailing address
607 W COUNTRY CLUB RD, ROSWELL, NM 88201-5211
(575) 208-7795
(575) 208-7785
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
72588
NM
363LF0000X
Family Nurse Practitioner
Primary
72588
NM
Other
Enumeration date
07/10/2023
Last updated
07/29/2024
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