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Wanda J Poncik, FNP
Family Nurse Practitioner in Sunland Park, New Mexico
NPI 1306948658

Wanda J Poncik is a Family Nurse Practitioner based in Las Cruces, NM and is specialized in Family. Wanda J Poncik practices in Sunland Park, NM and has the professional credentials of FNP. The NPI Number for Wanda J Poncik is 1306948658 and holds a License No. 508505 (New Mexico).

The current practice location address for Wanda J Poncik is 2625 Mcnutt Rd., Sunland Park, NM and can be reached out via phone at 575-589-0887 and via fax at 575-589-0898.

Location: 2625 Mcnutt Rd., Sunland Park, NM, 88005-3417
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Provider Profile Details
NPI Number
1306948658
Provider Name
Wanda J Poncik
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2625 Mcnutt Rd., Sunland Park, NM, 88005-3417
Phone Number
575-589-0887
Fax Number
575-589-0898
Provider Enumeration Date
09/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32085273 05 NM
institution
Provider Business Practice Location Address Details
Address
2625 Mcnutt Rd.
City
State
Zip
88063-9019
Phone Number
575-589-0887
Fax Number
575-589-0898
person
Provider Business Mailing Address Details
Address
2625 Mcnutt Rd.
City
State
Zip
88063-9019
Phone Number
575-589-0887
Fax Number
575-589-0898
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
508505 (Texas)
Definition
Definition to come...
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