Organization · Type 2 NPI
Midway Youth and Family Development Center, Inc
Family Nurse Practitioner · Dexter, NM
NPI number
1013293885
Active
Practice location
75 Yakima Rd
Dexter, NM 88230-9757
Fax (575) 347-5753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1013293885
Midway Youth and Family Development Center, Inc's National Provider Identifier is 1013293885, issued on Oct 25, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dexter, NM. The record was last updated on Nov 30, 2011.