Individual
KERRY COLLEEN HOPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1601 E BLAND ST, SBHC, ROSWELL, NM 88203-7900
(575) 627-2808
(575) 624-2290
Mailing address
1601 E BLAND ST, SBHC, ROSWELL, NM 88203-7900
(575) 627-2808
(575) 624-2290
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R37868
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00F5138
—
NM
Enumeration date
05/20/2006
Last updated
03/09/2015
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