Individual
LINDA JEAN WIENTJES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNS
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 556-5902
(575) 521-5033
Mailing address
2450 S. TELSHORE BLVD., LAS CRUCES, NM 88011-5076
(575) 556-5902
(575) 521-5033
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
CNS-00213
NM
Other
Enumeration date
08/14/2009
Last updated
06/17/2014
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