Individual
MS. JOANN MCCULLAR VANDERGRIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(505) 887-4100
Mailing address
PO BOX 1382, CARLSBAD, NM 88221-1382
(505) 887-4073
(505) 887-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R35927
NM
Other
Enumeration date
12/29/2005
Last updated
07/28/2007
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