Individual
LYNNE M BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
200 PIONEER TRAIL, RED RIVER, NM 87558
(575) 754-6330
(575) 754-7168
Mailing address
PO BOX 1476, TAOS, NM 87571-1476
(601) 278-0070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77286
NM
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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