Individual
ANNA ELISABETH PRAAMSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP-PC, RN
Contact information
Practice address
145 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8841
(505) 241-5182
Mailing address
145 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8841
(616) 540-9465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704308948
MI
363LP0200X
Pediatric Nurse Practitioner
4704308948
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
65707
NM
Other
Enumeration date
04/05/2018
Last updated
07/08/2024
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