Individual
PATRICIA M STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
118 S MAIN STREET, LAS CRUCES, NM 88001
(575) 527-7984
(575) 647-2898
Mailing address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(575) 647-2800
(575) 647-2898
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R46157
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47043
—
NM
Enumeration date
09/13/2010
Last updated
09/13/2010
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