Individual
DR. RANDEE GREENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 N CAMPO ST, LAS CRUCES, NM 88001-3433
(575) 524-1230
Mailing address
PO BOX 2736, LAS CRUCES, NM 88004-2736
(575) 649-6122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R34514
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP00716
NM
Other
Enumeration date
08/21/2006
Last updated
07/12/2019
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