Individual
PAMELA AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
166 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-3626
(877) 559-2708
Mailing address
117 CAMINO DE VIDA SUITE 300, SANTA ROSA, NM 88435
(575) 472-4311
(575) 472-4313
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-55628
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49574744
—
NM
01
—
821448
MEDICARE
NM
Enumeration date
05/06/2019
Last updated
02/15/2024
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