-- GLYNDA MAE DALLAS -- CNP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1255383261- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CNP
- Status
- Active
Contact & Location
- Address
- 2000 W 21ST ST #A-1, CLOVIS, NM, 881014087
- Phone
- (575) 762-8055
- Fax
- (575) 763-3351
Specialties & Taxonomies
Nurse Practitioner
Primary License: NM #R47073