Individual
MS. GEORGIA CARLETON VILLAFLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 592-6094
Mailing address
1397 WEIMER RD, TAOS, NM 87571-6253
(505) 592-6094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
728425
CA
163W00000X
Registered Nurse
73225
NM
363LA2100X
Acute Care Nurse Practitioner
53473
NM
363LA2100X
Acute Care Nurse Practitioner
Primary
95003640
CA
Other
Enumeration date
11/02/2016
Last updated
03/20/2020
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