Individual
DEIRDRE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2814 INDIAN WELLS RD, ALAMOGORDO, NM 88310-3861
(575) 415-1927
(575) 488-1133
Mailing address
2814 INDIAN WELLS RD, ALAMOGORDO, NM 88310-3861
(575) 415-1927
(575) 488-1133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06182120
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06182120
AANP NURSE PRACTITIONER #
NM
Enumeration date
06/25/2018
Last updated
07/29/2020
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