Deitra Gates, CNS
Clinical Nurse Specialist, Adult Health in Albuquerque, NM. Individual provider (NPI-1).
NPI number1366865560
StatusActive
Last updated in NPPESJul 21, 2014
Details
- NPI
- 1366865560
- Entity type
- Individual (NPI-1)
- Name
- Deitra Gates
- Credential
- CNS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2014
- Last updated
- Jul 21, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist, Adult Health | CNS-00245 | NM | Yes |
Practice location
610 Broadway Blvd NeAlbuquerque, NM 87102-2372
Phone 505-242-3991 · Fax 505-243-8405
Mailing address
610 Broadway Blvd NeAlbuquerque, NM 87102-2372
Phone 505-242-3991 · Fax 505-243-8405
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