Gallardo, Anita C

Gallardo, Anita C is an individual health care provider with primary practice located at 114 W 11Th St , Silver City NM 88061. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gallardo, Anita C can be contacted via phone (575) 388-1511.

Contact Information

Primary practice address
114 W 11Th St Silver City NM 88061
Fax: (575) 313-8234
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-03096 New Mexico

Profile Details

NPI number 1003890195
LBN Legal business name Gallardo, Anita C
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 10th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003890195 NPPES
New Mexico MEDICAID 43351514

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