Organization
SOUTHWEST NURSE PRACTITIONERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI PADGETT FNP-BC (FNP-BC/ PRESIDENT, CEO)
(505) 716-8800
Entity
Organization
Contact information
Practice address
3401 N BUTLER AVE, SUITE 105, FARMINGTON, NM 87401-6866
(505) 716-8800
Mailing address
3401 N BUTLER AVE, SUITE 105, FARMINGTON, NM 87401-6866
(505) 716-8800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R55878
NM
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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