Individual
MRS. GRETCHEN ELENE OLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APRN, NP-C
Contact information
Practice address
313 W COUNTRY CLUB RD STE 12, ROSWELL, NM 88201-5804
(575) 627-5828
(575) 627-5835
Mailing address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
(505) 998-7740
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
67156
NM
363LF0000X
Family Nurse Practitioner
122840
GA
363LF0000X
Family Nurse Practitioner
RN122840
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38626039
—
NM
Enumeration date
06/04/2006
Last updated
06/15/2023
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