Individual
MRS. CANDIDA LADAWN COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
1600 N MAIN AVE, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Mailing address
1600 N MAIN AVE, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02146
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54876079
—
NM
Enumeration date
04/29/2013
Last updated
03/14/2017
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