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Individual

BARBARA GLORIA WHITTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
402 W COUNTRY CLUB RD, ROSWELL, NM 88201
(575) 637-7000
(575) 637-7019
Mailing address
3420 22ND PLACE, LUBBOCK, TX 79410
(806) 725-7800
(806) 723-6532

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP00094
NM
363L00000X
Nurse Practitioner
R12264
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000H3421
NM
Enumeration date
04/14/2006
Last updated
02/01/2012
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