Individual
ELIZABETH TANNAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 STEPHEN MOODY ST SE, ALBUQUERQUE, NM 87123-1994
(505) 271-3060
Mailing address
801 STEPHEN MOODY ST SE, ALBUQUERQUE, NM 87123-1994
(505) 271-3060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
360936
NM
163WS0200X
School Registered Nurse
Primary
RN80595
NM
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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