Organization
FUSION HEALTH & WELLNESS OF NEW MEXICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA ANN NOLEN CNP (OWNER)
(575) 628-0331
Entity
Organization
Contact information
Practice address
2402 W PIERCE ST STE 6G, CARLSBAD, NM 88220-3566
(575) 628-0331
(575) 628-0332
Mailing address
2402 W PIERCE ST STE 6G, CARLSBAD, NM 88220-3566
(575) 628-0331
(575) 628-0332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58853065
—
NM
Enumeration date
08/16/2022
Last updated
08/16/2022
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