Individual
MRS. EMILY SUMRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
622 W MAPLE ST STE B, FARMINGTON, NM 87401-6589
(505) 327-4867
(505) 327-5355
Mailing address
1548 VOLPONI DR SE, ALBUQUERQUE, NM 87123-2785
(940) 206-2649
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
57288
NM
363L00000X
Nurse Practitioner
Primary
57288
NM
Other
Enumeration date
08/22/2023
Last updated
07/01/2024
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