Cottonwood Family Medicine LLC
NPI #1528429438 in Corrales, New Mexico
Provider Information
- NPI Number
- 1528429438
- Entity Type
- Organization
- Organization Name
- Cottonwood Family Medicine LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 19, 2016
- Last Updated
- Mar 19, 2016
Practice Location
- Address
- 4940 CORRALES RD
- Address 2
- SUITE 200
- City
- Corrales
- State
- New Mexico
- ZIP Code
- 87048-8673
- Phone
- (505) 929-0663
Authorized Official
- Name
- KATIE BOYLAN, CNP
- Title
- SOLE MEMBER/NURSE PRACTITIONER
- Phone
- (505) 929-0663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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