Individual
AMY CHARLENE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
190 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-5563
Mailing address
190 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-5563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01214
NM
Other
Enumeration date
10/04/2006
Last updated
04/25/2023
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