Individual
LAURETTA NDIDIAMAKA STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
1801 N OREGON, ATTN: MEDICAL STAFF SERVICES, EL PASO, TX 79902
(915) 521-1200
Mailing address
1801 N OREGON, ATTN: MEDICAL STAFF SERVICES, EL PASO, TX 79902
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
734126
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP119742
TX
Other
Enumeration date
01/31/2011
Last updated
04/07/2022
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