Individual
MRS. LYNNETTE RUTH OUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P
Contact information
Practice address
12127 HWY 14 N STE 5B, CEDAR CREST, NM 87008-9461
(505) 720-8167
Mailing address
PO BOX 792, CEDAR CREST, NM 87008-0792
(505) 720-8167
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
01514
NM
Other
Enumeration date
12/04/2009
Last updated
09/14/2012
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