Individual
CORTNEE LYNN KRALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1521 W 13TH ST, CLOVIS, NM 88101-5568
(575) 769-0888
Mailing address
1521 W 13TH ST, CLOVIS, NM 88101-5568
(575) 769-0888
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP02979
NM
Other
Enumeration date
08/18/2016
Last updated
08/30/2016
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