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Individual

GLORIA DARRAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1201 CAMINO DE SALUD NE, ALBUQUERQUE, NM 87102
(505) 272-4946
(505) 925-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP02827
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22182071
NM
Enumeration date
02/10/2016
Last updated
02/17/2022
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