Individual
SHARON L ANDREATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP.
Contact information
Practice address
118 CENTRAL PARK SQ, LOS ALAMOS, NM 87544-4021
(505) 662-4798
Mailing address
118 CENTRAL PARK SQ, LOS ALAMOS, NM 87544-4021
(505) 662-4798
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
R30557
NM
163WN1003X
Nutrition Support Registered Nurse
R30557
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP-01668
NM
Other
Enumeration date
02/22/2007
Last updated
10/25/2010
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