Individual
LYNETTE D BACA-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
1441 33RD CIR SE, RIO RANCHO, NM 87124-1915
(505) 429-0784
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
82589
NM
363LA2100X
Acute Care Nurse Practitioner
Primary
62046
NM
Other
Enumeration date
03/17/2021
Last updated
05/11/2022
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