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Organization

LEAH ATKINSON, FNP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LEAH DIANE ATKINSON FNP (FAMILY NURSE PRACTITIONER)
(505) 614-4528
Entity
Organization

Contact information

Practice address
HC 75 BOX 1091, LOS OJOS, NM 87551-9707
(505) 614-4528
Mailing address
HC 75 BOX 1091, LOS OJOS, NM 87551-9707
(505) 614-4528

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
CNP-02560
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1740621366
NPI
Enumeration date
12/31/2015
Last updated
11/16/2018
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