Individual
MEREDITH PHIPPS JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
407 S SCHWARTZ AVE STE 102, FARMINGTON, NM 87401
(505) 609-6700
(505) 599-4634
Mailing address
407 S SCHWARTZ AVE STE 102, FARMINGTON, NM 87401-5925
(505) 609-6700
(505) 599-4634
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
54473
NM
363LP0200X
Pediatric Nurse Practitioner
AP127925
TX
Other
Enumeration date
05/20/2015
Last updated
04/26/2023
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