Individual
ELAINE MARIE OGLESBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4420 IRVING BLVD NW, ALBUQUERQUE, NM 87114-5915
(505) 823-1010
(505) 797-4503
Mailing address
4420 IRVING BLVD NW, ALBUQUERQUE, NM 87114-5915
(505) 823-1010
(505) 797-4503
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP-01734
NM
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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