Individual
MRS. FALLON LAWS GRAVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
1330 SAN PEDRO DR NE STE 205J, ALBUQUERQUE, NM 87110-6749
(505) 658-1561
(505) 445-0774
Mailing address
PO BOX 571, ESTANCIA, NM 87016-0571
(505) 658-1549
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-83568
NM
363L00000X
Nurse Practitioner
CNP-03186
NM
363LG0600X
Gerontology Nurse Practitioner
CNP03186
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-03186
NM
Other
Enumeration date
08/09/2013
Last updated
04/27/2022
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