Organization · Type 2 NPI
Upper Valley Medical Clinic, PLLC
Family Nurse Practitioner · Canutillo, TX
NPI number
1366773947
Active
Practice location
950 Anthony St
Canutillo, TX 79835-6052
Fax (915) 877-4231
Mailing address
7250 Ninth St
Canutillo, TX 79835-6011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 537539 (TX) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1366773947
Upper Valley Medical Clinic, PLLC's National Provider Identifier is 1366773947, issued on Jan 21, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canutillo, TX. The record was last updated on Jan 21, 2010.