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NPI Code Detail

MEDICARE: FLORENCE IYAMU FNP

MEDICARE:   FLORENCE  IYAMU  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner801819TX
2363L00000XNurse PractitionerCNP-02253NM

General Provider Information

NPI Number : 1649548199
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLORENCE IYAMU FNP
Provider Business Mailing Address
First Line : PO BOX 370
Second Line :
City : HATCH
State : NM
Zip : 87937-0370
Country : US
Telephone Number : 575-267-3280
Fax Number : 575-267-1747
Provider Business Practice Location Address
First Line : 1998 N MOTEL BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88007-4100
Country : US
Telephone Number : 575-541-5941
Fax Number : 575-541-5048
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2011
Last Update Date : 09/09/2013

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Directions to “ FLORENCE IYAMU FNP” Practice Location

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