person
Judy Liesveld, CNP
Nurse Practitioner in Gallup, New Mexico
NPI 1295707651

Judy Liesveld is a Nurse Practitioner based in Gallup, NM. Judy Liesveld practices in Gallup, NM and has the professional credentials of CNP. The NPI Number for Judy Liesveld is 1295707651 and holds a License No. R30234 (New Mexico).

The current practice location address for Judy Liesveld is 2111 College Dr, Gallup, NM and can be reached out via phone at 505-863-1820.

Location: 2111 College Dr, Gallup, NM, 87301-5683
person
Provider Profile Details
NPI Number
1295707651
Provider Name
Judy Liesveld
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
2111 College Dr, Gallup, NM, 87301-5683
Phone Number
505-863-1820
Fax Number
Provider Enumeration Date
02/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
99628 05 NM
PROVP14473 01 NM MOLINA
10002112 01 NM LOVELACE HEALTH/SALUD
85031326887301A120 01 CHAMPUS
469066 05 AZ
NM006180 01 NM BC/BS
institution
Provider Business Practice Location Address Details
Address
2111 College Dr
City
State
Zip
87301-5600
Phone Number
505-863-1820
Fax Number
person
Provider Business Mailing Address Details
Address
2111 College Dr
City
State
Zip
87301-5600
Phone Number
505-863-1820
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
R30234 (New Mexico)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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