Individual
NANCY M FRYEWEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5150 JOURNAL CENTER BLVD NE, ALBUQUERQUE, NM 87109
(505) 727-7600
(505) 727-7640
Mailing address
PO BOX 27829, ALBUQUERQUE, NM 87125
(505) 232-1920
(505) 727-9276
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R14600
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R8555
—
NM
Enumeration date
07/11/2006
Last updated
07/08/2007
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