Individual
MARY SAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, AGACNP-BC
Contact information
Practice address
SAN LUIS VALLEY HEALTH106 BLANCA AVE, ALAMOSA, CO 81101
(719) 589-2511
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0992454
CO
363LF0000X
Family Nurse Practitioner
Primary
0992454
CO
Other
Enumeration date
04/06/2016
Last updated
09/23/2016
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