Individual
MRS. AMY NICHOLS ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
200 W LAS CRUCES AVE, SUITE E, LAS CRUCES, NM 88005-2049
(505) 496-8161
(505) 524-2059
Mailing address
415 W PALMER RD, LAS CRUCES, NM 88005-2049
(505) 527-0821
(505) 524-2059
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
792
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM00RJ29
BLUE CROSS BLUE SHIELD
NM
Enumeration date
10/24/2006
Last updated
07/08/2007
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