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Dannial Rene Coston
Family Nurse Practitioner in Los Lunas, New Mexico
NPI 1235881145

Dannial Rene Coston is a Family Nurse Practitioner based in Cedar Crest, NM and is specialized in Family. Dannial Rene Coston practices in Los Lunas, NM. The NPI Number for Dannial Rene Coston is 1235881145 and holds a License No. 65970 (New Mexico).

The current practice location address for Dannial Rene Coston is 1202 Main St Ne Ste A, Los Lunas, NM and can be reached out via phone at 505-565-0070.

Location: 1202 Main St Ne Ste A, Los Lunas, NM, 87008-9461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235881145
Provider Name
Dannial Rene Coston
Credential
Provider Entity Type
Individual
Gender
Female
Address
1202 Main St Ne Ste A, Los Lunas, NM, 87008-9461
Phone Number
505-565-0070
Fax Number
Provider Enumeration Date
01/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1202 Main St Ne Ste A
City
Los Lunas
State
New Mexico
Zip
87031-7421
Phone Number
505-565-0070
Fax Number
person
Provider Business Mailing Address Details
Address
1202 Main St Ne Ste A
City
Los Lunas
State
New Mexico
Zip
87031-7421
Phone Number
505-565-0070
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
65970 (New Mexico)
Definition
Definition to come...
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