Individual
ANNIE FELICIA COOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
01 SAGEBRUSH, ISLETA, NM 87022-0640
(505) 869-3200
(505) 869-4881
Mailing address
P.O BOX 640, ISLETA, NM 87022-0640
(505) 869-3200
(505) 869-4881
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R07243
NM
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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