JODI DETTMAN, CNP

Nurse Practitioner - Adult Health

Active Individual
NPI: 1720269178

Practice Address

104 QUAIL TRL UNIT B
Edgewood, NM 87015

Phone: (505) 208-0204

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X Yes CNP01152 (NM)

Frequently Asked Questions

NPI 1720269178 is the National Provider Identifier for JODI DETTMAN, CNP, a Nurse Practitioner - Adult Health provider located in Edgewood, NM. This NPI was enumerated on November 14, 2007.
JODI DETTMAN, CNP practices at 104 QUAIL TRL UNIT B, Edgewood, NM 87015.

Quick Facts

NPI
1720269178
Type
Individual
Enumerated
Nov 14, 2007
Last Updated
May 4, 2018

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