Individual
LISA MARIE FLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 261-0447
Mailing address
3035 TAMARACK CIR, BOSQUE FARMS, NM 87068-8917
(505) 261-0447
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN-79004
NM
363LN0000X
Neonatal Nurse Practitioner
Primary
57284
NM
Other
Enumeration date
07/28/2019
Last updated
09/04/2019
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