Individual
ALICIA A PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
104 LEGION DR, LAS VEGAS, NM 87701-4804
(505) 426-3500
Mailing address
517 CHRISTINE DR, LAS VEGAS, NM 87701-4619
(505) 718-8215
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
68104
NM
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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