Edith A. Iwan, NP
NPI #1285667600 in Thoreau, New Mexico
Provider Information
- NPI Number
- 1285667600
- Entity Type
- Individual
- Name
- Edith A. Iwan, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Jul 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15 NAVARRE BLVD.
- City
- Thoreau
- State
- New Mexico
- ZIP Code
- 87323-1017
- Phone
- (505) 862-7417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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