Individual
AMY LYNN WISHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
606 N 13TH ST, ARTESIA, NM 88210-1133
(575) 748-8301
Mailing address
702 N 13TH ST, ARTESIA, NM 88210-1199
(575) 748-3333
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
54477
NM
363LA2100X
Acute Care Nurse Practitioner
Primary
54477
NM
Other
Enumeration date
11/12/2019
Last updated
11/18/2024
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