Individual
LEONA MARIE HERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
1900 HWY 314 NE, LOS LUNAS, NM 87031
(505) 865-4623
Mailing address
1900 HWY 314 NE, LOS LUNAS, NM 87031
(505) 865-4623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R35144
NM
Other
Enumeration date
06/27/2007
Last updated
07/11/2007
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