Individual
CHANDA M ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1302 E MAIN ST, TUCUMCARI, NM 88401-2508
(754) 612-2005
(575) 461-2213
Mailing address
1302 E MAIN ST, TUCUMCARI, NM 88401-2508
(754) 612-2005
(575) 461-2213
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-66220
NM
Other
Enumeration date
12/02/2021
Last updated
07/02/2024
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