Individual
NANCY ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 CONSTITUTION NE, ROOM 1303, ALBUQUERQUE, NM 87110
(505) 559-5606
Mailing address
1729 VALDEZ DR NE, ALBUQUERQUE, NM 87112-4857
(505) 323-1726
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R56893
NM
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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