Individual
CAROLE NEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2301 N DR MARTIN LUTHER KING JR BLVD, CLOVIS, NM 88101-9401
(575) 762-4455
Mailing address
2301 N DR MARTIN LUTHER KING JR BLVD, CLOVIS, NM 88101-9401
(575) 762-4455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
72177
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72177
BOARD OF NURSING
NM
Enumeration date
03/07/2023
Last updated
03/07/2023
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