Individual provider · Type 1 NPI
Gloretha S. Wilcots, NURSE PRACTITIONER
Nurse Practitioner · Pueblo Of San Felipe, NM
Practice location
711 Main Pueblo Road
Pueblo Of San Felipe, NM 87001
Mailing address
P.o. Box 4339
Pueblo Of San Felipe, NM 87001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 03135 (NM) |
| Nurse Practitioner Primary | 363L00000X | 03135 (NM) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1992993323
Gloretha S. Wilcots, NURSE PRACTITIONER's National Provider Identifier is 1992993323, issued on Oct 10, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pueblo Of San Felipe, NM. The record was last updated on Dec 28, 2021.