Individual
MS. LINDA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
4001 RODEO RD, MEDICAL STAFF OFFICE, SANTA FE, NM 87507-4830
(505) 417-8994
Mailing address
4001 RODEO RD, MEDICAL STAFF OFFICE, SANTA FE, NM 87507-4830
(505) 417-8994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
210P200X
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000294
LOVELACE HEALTHCARE
—
01
—
202014953
PRESBYTERIAN HEALTH PLAN
—
05
—
K5783
—
NM
01
—
NM026408
BCBS
NM
01
—
QMYPRO0074146
MOLINA
NM
Enumeration date
08/31/2006
Last updated
09/27/2012
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