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Individual

ANNA NANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
1300 ENTERPRISE RD, SOCORRO, NM 87801-4199
(575) 835-4444
Mailing address
1300 ENTERPRISE RD, SOCORRO, NM 87801-4199

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
74671
NM
363LP2300X
Primary Care Nurse Practitioner
Primary
62624
NM

Other

Enumeration date
09/17/2020
Last updated
08/05/2024
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