Individual
SERENA SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
614 N MAIN ST, ROSWELL, NM 88201-4824
(575) 622-5705
Mailing address
1106 E ELM AVE, ROSWELL, NM 88201-8321
(575) 914-8422
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-02778
NM
Other
Enumeration date
09/15/2015
Last updated
03/15/2023
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