person
Edith A. Iwan, NP
Family Nurse Practitioner in Thoreau, New Mexico
NPI 1285667600

Edith A. Iwan is a Family Nurse Practitioner based in Thoreau, NM and is specialized in Family. Edith A. Iwan practices in Thoreau, NM and has the professional credentials of NP. The NPI Number for Edith A. Iwan is 1285667600 and holds a License No. R31814 (New Mexico).

The current practice location address for Edith A. Iwan is 15 Navarre Blvd., Thoreau, NM and can be reached out via phone at 505-862-7417 and via fax at 505-862-8300.

Location: 15 Navarre Blvd., Thoreau, NM, 87323-0028
person
Provider Profile Details
NPI Number
1285667600
Provider Name
Edith A. Iwan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
15 Navarre Blvd., Thoreau, NM, 87323-0028
Phone Number
505-862-7417
Fax Number
505-862-8300
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
15 Navarre Blvd.
City
State
Zip
87323-1017
Phone Number
505-862-7417
Fax Number
505-862-8300
person
Provider Business Mailing Address Details
Address
15 Navarre Blvd.
City
State
Zip
87323-1017
Phone Number
505-862-7417
Fax Number
505-862-8300
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R31814 (New Mexico)
Definition
Definition to come...
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