Individual
MS. LINDA WASSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
2085 S PACHECO ST, SANTA FE, NM 87505-6103
(505) 984-8012
(505) 988-2612
Mailing address
PO BOX 8387, ALBUQUERQUE, NM 87198-8387
(505) 841-1000
(505) 843-2956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01351
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639102023
NPI ENUMERATOR
NM
Enumeration date
07/08/2006
Last updated
12/19/2012
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