Individual
MRS. CAROLINE MICHELLE-TEICH GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 439-6100
Mailing address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
25445
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
57253
NM
Other
Enumeration date
06/28/2019
Last updated
08/01/2022
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