Ryan Sturges Bozzell
Nurse Practitioner in Farmington, NM. Individual provider (NPI-1).
NPI number1447722657
StatusActive
Last updated in NPPESNov 14, 2024
Details
- NPI
- 1447722657
- Entity type
- Individual (NPI-1)
- Name
- Ryan Sturges Bozzell
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2018
- Certification date
- Nov 14, 2024
- Last updated
- Nov 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 54843 | NM | Yes |
Practice location
735 W Animas StFarmington, NM 87401-5616
Phone 505-609-6300
Mailing address
Po Box 844088Dallas, TX 75284-4088
Phone 505-609-2258 · Fax 505-609-2259
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