Individual
MS. ELLEN WITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1650 HOSPITAL DR, SUITE 200, SANTA FE, NM 87505-4769
(505) 982-3833
Mailing address
228 E CORDOVA RD, SANTA FE, NM 87505-0660
(505) 982-3833
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2006-0021
NM
Other
Enumeration date
03/22/2007
Last updated
03/02/2012
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