Individual
NICOLE ALINE PAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 E. NIZHIONI BLVD, GALLUP, NM 87301
(505) 722-1000
Mailing address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
655150
CA
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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