Individual
MS. GAIL CARMAN DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8210 LOUISIANA BLVD. NE, SUITE C, ALBUQUERQUE, NM 87113-1761
(505) 858-1222
(505) 858-1224
Mailing address
8210 LOUISIANA BLVD. NE, SUITE C, ALBUQUERQUE, NM 87113-1761
(505) 858-1222
(505) 858-1224
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
200450012NP-ANP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
R14032
NM
363LA2200X
Adult Health Nurse Practitioner
RN101932
AZ
363LF0000X
Family Nurse Practitioner
R14032
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59048
—
NM
01
—
P00695035
RAILROAD MEDICARE
—
Enumeration date
08/01/2006
Last updated
06/05/2013
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