RAELYNN BENALLY
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1053855593- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2111 COLLEGE DR, GALLUP, NM, 873015600
- Phone
- (505) 397-5172
- Fax
- (877) 396-1184
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: NM #85128
Registered Nurse
License: NM #RN-75921