Individual
CLARE MARIE IRONSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02703
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95806202
—
NM
Enumeration date
07/27/2015
Last updated
03/04/2021
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