Individual
CLARISSA GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FCNP
Contact information
Practice address
622 W MAPLE ST STE B, FARMINGTON, NM 87401-6589
(505) 327-4867
Mailing address
622 W MAPLE ST STE B, FARMINGTON, NM 87401-6589
(505) 327-4867
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
66772
NM
363LF0000X
Family Nurse Practitioner
Primary
66772
NM
Other
Enumeration date
01/25/2022
Last updated
07/14/2025
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