Individual
MS. MARY ANN NMN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1235 8TH ST, LAS VEGAS, NM 87701-4219
(505) 425-6788
(505) 747-7396
Mailing address
PO BOX 158, ESPANOLA, NM 87532-0158
(505) 753-7218
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
464128
TX
364SF0001X
Family Health Clinical Nurse Specialist
AP126564
TX
364SF0001X
Family Health Clinical Nurse Specialist
Primary
CNP-03110
NM
Other
Enumeration date
03/23/2009
Last updated
11/29/2016
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