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Mrs. Gaylia Dianne Pride, RN
Ambulatory Care Registered Nurse in Dulce, New Mexico
NPI 1255347043

Gaylia Dianne Pride is an Ambulatory Care Registered Nurse based in Chama, NM and is specialized in Ambulatory Care. Gaylia Dianne Pride practices in Dulce, NM and has the professional credentials of RN. The NPI Number for Gaylia Dianne Pride is 1255347043 and holds a License No. R47562 (New Mexico).

The current practice location address for Gaylia Dianne Pride is 12000 Stone Lake Rd, Dulce, NM and can be reached out via phone at 505-759-7248 and via fax at 505-759-7294.

Location: 12000 Stone Lake Rd, Dulce, NM, 87520-0752
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Provider Profile Details
NPI Number
1255347043
Provider Name
Gaylia Dianne Pride
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
12000 Stone Lake Rd, Dulce, NM, 87520-0752
Phone Number
505-759-7248
Fax Number
505-759-7294
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HSZ196 01 NM MEDICARE PART B
000K3526 05 NM
institution
Provider Business Practice Location Address Details
Address
12000 Stone Lake Rd
City
State
Zip
87528
Phone Number
505-759-7248
Fax Number
505-759-7294
person
Provider Business Mailing Address Details
Address
12000 Stone Lake Rd
City
State
Zip
87528
Phone Number
505-759-7248
Fax Number
505-759-7294
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Ambulatory Care
Taxonomy
License No.
R47562 (New Mexico)
Definition
Definition to come...
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