Individual
GWENDOLYN CHARLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1400 BARBARA LOOP SE STE A, RIO RANCHO, NM 87124-1088
(505) 414-6449
Mailing address
1809 CHISHOLM TRL NE, RIO RANCHO, NM 87144-4095
(505) 610-7303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
72118
NM
Other
Enumeration date
02/20/2023
Last updated
03/11/2025
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