Individual
SHEILA ANN BARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2930 HILLRISE DR STE 6, LAS CRUCES, NM 88011-4776
(575) 640-0748
(575) 567-7222
Mailing address
5850 THIELMAN RD, LAS CRUCES, NM 88005-4640
(575) 640-0748
(575) 567-7222
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
53531
NM
363LA2100X
Acute Care Nurse Practitioner
Primary
53531
NM
Other
Enumeration date
08/08/2018
Last updated
07/03/2024
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