Individual
DIANE W SEARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNSFA
Contact information
Practice address
2300 E 30TH ST BLDG D, STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202
Mailing address
2300 E 30TH ST BLDG D, STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
R67165
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R67165
NM NURSING LICENSE
NM
Enumeration date
01/12/2012
Last updated
01/12/2012
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