Individual
MS. ALICIA VICTORIA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 925-0379
(505) 272-7799
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 925-0379
(505) 272-7799
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP-01927
NM
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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