Individual
GLORIA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
255 HWY 187, HATCH, NM 87937-0370
(575) 267-3088
(575) 267-1747
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP00836
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R38331
NURSING LICENSE
NM
Enumeration date
11/16/2006
Last updated
08/01/2011
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