Individual
WILLOW P DURAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4495
(505) 842-8171
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2115262
FL
363L00000X
Nurse Practitioner
Primary
CNP-01632
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090035-00
—
FL
05
—
56589221
—
NM
Enumeration date
03/04/2008
Last updated
01/17/2017
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