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Individual

MRS. DIANE WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
300 W COUNTRY CLUB RD STE 130, ROSWELL, NM 88201-5249
(575) 625-2669
(575) 624-4632
Mailing address
300 W COUNTRY CLUB RD STE 130, ROSWELL, NM 88201-5249
(575) 625-2669
(575) 624-4632

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57511
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04556569
NM
Enumeration date
08/16/2019
Last updated
07/22/2026
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