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Individual

NANCY M HALONEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
#1 SAGEBRUSH ROAD, ISLETA, NM 87022
(505) 869-4863
(505) 869-4881
Mailing address
#1 SAGEBRUSH ROAD, ISLETA, NM 87022
(505) 869-4863
(505) 869-4881

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R61456
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R61456
LICENSE
NM
Enumeration date
03/20/2008
Last updated
03/20/2008
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