Individual
GRACE WIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3411 CANDELARIA RD NE, ALBUQUERQUE, NM 87107-1960
(505) 377-9594
Mailing address
3411 CANDELARIA RD NE, ALBUQUERQUE, NM 87107-1960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
24897436
NM
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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