Individual
MISS NICOLE S OSWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4351 E LOHMAN AVE, SUITE 301, LAS CRUCES, NM 88011-8259
(575) 532-8900
(575) 532-8963
Mailing address
PO BOX 2827, APT 7, LAS CRUCES, NM 88004-2827
(575) 532-1001
(575) 532-5003
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP-01500
NM
Other
Enumeration date
06/24/2009
Last updated
05/05/2016
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