Individual
RYANN H PUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
400 N PENNSYLVANIA AVE # 101, ROSWELL, NM 88201-4754
(575) 623-9101
Mailing address
400 N PENNSYLVANIA AVE # 101, ROSWELL, NM 88201-4754
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
721608
TX
363LF0000X
Family Nurse Practitioner
Primary
CNP01565
NM
Other
Enumeration date
06/18/2009
Last updated
04/12/2016
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