Individual
DUSTY LAUREN GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
101 N 6TH ST, BELEN, NM 87002-8216
(505) 317-7773
(855) 844-8611
Mailing address
101 N 6TH ST, BELEN, NM 87002-8216
(505) 317-7773
(855) 844-8611
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
73468
NM
Other
Enumeration date
05/12/2023
Last updated
05/13/2024
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