Individual
GERALDINE J. NEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
516 E. NIZHONI BLVD., BOX 1337, GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1496
Mailing address
516 E. NIZHONI BLVD., BOX 1337, GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1496
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R11577
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
817702
—
AZ
05
—
90822757
—
NM
Enumeration date
09/20/2006
Last updated
04/11/2008
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