Individual
MS. LUANN MARY WOSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
06B MAIN STREET, ORTIZ MOUNTAIN HEALTH CENTER, CERRILLOS, NM 87010
(505) 471-6266
(505) 471-5861
Mailing address
PO BOX 148, ORTIZ MOUNTAIN HEALTH CENTER, CERRILLOS, NM 87010
(505) 471-6266
(505) 471-5861
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R20436
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R20436
PROVIDER NO BD OF NURSING
NM
Enumeration date
08/17/2006
Last updated
07/08/2007
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