Judy Liesveld, CNP
NPI #1295707651 in Gallup, New Mexico
Provider Information
- NPI Number
- 1295707651
- Entity Type
- Individual
- Name
- Judy Liesveld, CNP
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Nurse Practitioner
- Credential
- CNP
- Enumeration Date
- Feb 1, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 2111 COLLEGE DR
- Address 2
- REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5600
- Phone
- (505) 863-1820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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