Individual
GWEN SORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 COLLEGE DR, GALLUP, NM 87301-5600
(505) 397-5172
(877) 396-1184
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN187790
AZ
363LF0000X
Family Nurse Practitioner
Primary
RN187790
NM
Other
Enumeration date
06/02/2016
Last updated
05/27/2026
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