Individual
MS. DIANE LEE PAOLAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
435 SAINT MICHAELS DR STE 104, SANTA FE, NM 87505-7672
(505) 372-1052
(505) 820-3172
Mailing address
8020 CONSTITUTION PL NE STE 202, ALBUQUERQUE, NM 87110-7640
(505) 998-3096
(505) 998-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R17952
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP00250
NEW MEXICO BOARD OF NURSING
NM
01
—
R17952
STATE MEDICAL LICENSE
NM
Enumeration date
05/03/2007
Last updated
01/28/2021
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