Individual
NICOLE STANISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 LASER RD NE, RIO RANCHO, NM 87124-4517
(505) 896-0667
Mailing address
500 LASER RD NE, RIO RANCHO, NM 87124-4517
(505) 896-0667
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-89509
NM
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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