Individual
DOUGLAS ACCOUNTIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MBA, AG-ACNP-BC
Contact information
Practice address
NORTHERN NAVAJO MEDICAL CENTER, HIGHWAY 491 NORTH, SHIPROCK, NM 87420-5685
(505) 368-6462
(505) 365-6547
Mailing address
PO BOX 5685, FARMINGTON, NM 87499-5685
(505) 635-6547
(505) 365-6547
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP-03124
NM
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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