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Janet Lee Gorham, APRN-CNP
Family Nurse Practitioner in Aztec, New Mexico
NPI 1265604557

Janet Lee Gorham is a Family Nurse Practitioner based in Farmington, NM and is specialized in Family. Janet Lee Gorham practices in Aztec, NM and has the professional credentials of APRN-CNP. The NPI Number for Janet Lee Gorham is 1265604557 and holds a License No. 90898 (New Mexico).

The current practice location address for Janet Lee Gorham is 120 Llano St, Aztec, NM and can be reached out via phone at 505-334-9441.

Location: 120 Llano St, Aztec, NM, 87499-6210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265604557
Provider Name
Janet Lee Gorham
Credential
APRN-CNP
Provider Entity Type
Individual
Gender
Female
Address
120 Llano St, Aztec, NM, 87499-6210
Phone Number
505-334-9441
Fax Number
Provider Enumeration Date
03/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100747570A 05 OK
200210930A 05 OK
institution
Provider Business Practice Location Address Details
Address
120 Llano St
City
Aztec
State
New Mexico
Zip
87410-2172
Phone Number
505-334-9441
Fax Number
person
Provider Business Mailing Address Details
Address
120 Llano St
City
Aztec
State
New Mexico
Zip
87410-2172
Phone Number
505-334-9441
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
90898 (Oklahoma)
Definition
Definition to come...
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