Individual
PAULA MARIE REEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
103 DON PABLO LANE, HONDO, NM 88336
(575) 653-4830
(575) 653-4833
Mailing address
PO BOX 843, 1515 WEST FIR, PORTALES, NM 88130-0843
(575) 356-6695
(575) 356-5948
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP01863
NM
363LP2300X
Primary Care Nurse Practitioner
R0066002
OK
Other
Enumeration date
10/12/2006
Last updated
07/30/2013
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