Individual
MR. JAMES DEAN RAYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN MSN ACNP-BC CCRN
Contact information
Practice address
1501 SAN PEDRO DR SE, BLDG 41 SUITE 2-D 118, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE, BLDG 41 SUITE 2-D 118, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-1917
NM
363LA2100X
Acute Care Nurse Practitioner
CNP-1917
NM
Other
Enumeration date
12/26/2011
Last updated
04/20/2012
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