Individual
PROF. CECILIA LORRAINE CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1608 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4634
(505) 907-8311
(866) 265-6465
Mailing address
4425 SAN ISIDRO ST NW, ALBUQUERQUE, NM 87107-2840
(505) 345-5887
(866) 265-6465
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R17186
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30254
—
NM
Enumeration date
03/26/2009
Last updated
03/26/2009
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