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Individual

RUTH NYANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
Mailing address
10419 VENTICELLO DR NW, ALBUQUERQUE, NM 87114-1463
(972) 876-6022

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP-03130
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP-03130
NM

Other

Enumeration date
01/11/2017
Last updated
01/11/2017
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