Individual
MISS ELIZABETH ANNE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, APRN
Contact information
Practice address
610 N. 5TH STREET, WESTERN NEW MEXICO MEDICAL GROUP-GALLUP, GALLUP, NM 87301
(505) 863-3828
Mailing address
3417 CHEE DODGE BLVD, GALLUP, NM 87301-6906
(620) 331-8190
(888) 334-6623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-75287032
KS
Other
Enumeration date
12/01/2010
Last updated
01/24/2012
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