Individual
LAURA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 5TH ST, RUIDOSO, NM 88345-7556
(575) 630-0211
(575) 630-0295
Mailing address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
C-APN.0001239-C-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
CNP-59219
NM
Other
Enumeration date
08/16/2016
Last updated
03/25/2020
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