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Individual

MRS. SARAH TERRY DRENNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C-PNP

Contact information

Practice address
1393 WEIMER RD, TAOS, NM 87571-6253
(575) 758-7074
(575) 758-7811
Mailing address
1393 WEIMER RD, TAOS, NM 87571-6253
(575) 758-8651
(575) 758-7811

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
10108
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP 01789
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00051474
NM
Enumeration date
05/09/2011
Last updated
08/30/2011
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