St Johns College Health Center

NPI #1649537978 in Santa Fe, New Mexico

Provider Information

NPI Number
1649537978
Entity Type
Organization
Organization Name
St Johns College Health Center
Primary Specialty
Nurse Practitioner
Enumeration Date
Apr 11, 2012
Last Updated
Apr 11, 2012

Practice Location

Address
1160 CAMINO CRUZ BLANCA
ZIP Code
87505-4599
Phone
(505) 984-6418

Authorized Official

Name
JAMES K IRUNGU
Title
CREDENTIALING MANAGER
Phone
(877) 614-5227

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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