Individual
PAMELA WEISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
224 SPRUCE ST, SANTA FE, NM 87501-1624
(505) 995-1073
Mailing address
224 SPRUCE ST, SANTA FE, NM 87501-1624
(505) 995-1073
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R19335
NM
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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