Individual
MARY ELIZABETH YUTZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-6907
(505) 272-9843
Mailing address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R48157
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52288838
—
NM
Enumeration date
11/04/2005
Last updated
06/27/2012
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