Individual
GRETCHEN WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
650 VANDEN BOSCH PKWY, SUITE B, GALLUP, NM 87301-5508
(505) 726-6900
Mailing address
1901 REDROCK DR, PFS DEPT, GALLUP, NM 87301-5683
(505) 863-7000
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R42284
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10010252
LOVELACE HEALTH/SALUD
NM
05
—
A6926
—
NM
01
—
NM01R98T
BCBS
—
Enumeration date
02/06/2006
Last updated
07/08/2007
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