Individual
LISA ANN WERMELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
465 SAINT MICHAELS DR STE 116, SANTA FE, NM 87505-7621
(505) 913-4260
(505) 913-4261
Mailing address
465 SAINT MICHAELS DR STE 116, SANTA FE, NM 87505-7621
(505) 913-4260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2017-0089
NM
Other
Enumeration date
10/23/2017
Last updated
01/30/2019
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