Individual
HALLEY MARIE FRIEDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
HWY JUNCTION 57, RT9, CROWNPOINT, NM 87313
(505) 786-5291
(505) 786-6435
Mailing address
P.O BOX 358, HWY JUNCTION 57, RT9 CROWNPOINT, NM 87313, CROWNPOINT, NM 87313
(505) 786-5291
(505) 786-6435
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226005
AZ
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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