Individual
TIALANA LYNN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
607 W COUNTRY CLUB RD, ROSWELL, NM 88201-5211
(575) 208-7795
Mailing address
607 W COUNTRY CLUB RD, ROSWELL, NM 88201-5211
(575) 208-7795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-82240
NM
363LF0000X
Family Nurse Practitioner
Primary
86286
NM
Other
Enumeration date
05/31/2025
Last updated
11/20/2025
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