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Individual

MS. LYNELLE MARIE ENDSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
400 N PENNSYLVANIA AVE, STE 570, ROSWELL, NM 88201-4792
(575) 625-5512
(575) 625-1013
Mailing address
400 N PENNSYLVANIA AVE, STE 570, ROSWELL, NM 88201-4792
(770) 455-4009
(770) 455-4065

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
56101
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP-56101
NM
363LF0000X
Family Nurse Practitioner
RN2295514
GA

Other

Enumeration date
04/07/2015
Last updated
08/09/2019
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