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Individual

MS. LESLEY JOAN MORTIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87125
(505) 767-1118
(505) 242-3531
Mailing address
4221 SADDLEWOOD TRL SE, RIO RANCHO, NM 87124-8205
(505) 892-1310
(505) 892-6843

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP30001222
WA
363LF0000X
Family Nurse Practitioner
Primary
R15653
NM
363LF0000X
Family Nurse Practitioner
RN00081985
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45385
NM
Enumeration date
10/31/2005
Last updated
03/19/2008
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