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Individual

MS. TERI DOYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
435 SAINT MICHAELS DR STE B104, SANTA FE, NM 87505-7671
(505) 992-3334
(505) 992-1998
Mailing address
435 SAINT MICHAELS DR STE B104, SANTA FE, NM 87505-7671
(505) 992-3334
(505) 992-1998

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R49108
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R49108
STATE LICENSE
NM
Enumeration date
12/08/2006
Last updated
07/08/2007
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