Individual
TAMAKI ANNE HARROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2573 STATE HWY 522, QUESTA, NM 87556
(575) 586-3015
(575) 586-0519
Mailing address
PO BOX 290, QUESTA, NM 87556-0290
(575) 586-0315
(575) 586-0519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0000139-C-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
CNP02406
NM
Other
Enumeration date
11/01/2013
Last updated
07/06/2023
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