KEZIA E COTTENOIR

DHHS PHS NAIHS GALLUP INDIAN MEDICAL CENTER

Dr KEZIA E COTTENOIR is a female medical professional, specializing in Nurse Practitioner. She graduated in 2009.

Contact

DHHS PHS NAIHS GALLUP INDIAN MEDICAL CENTER

516 E NIZHONI BLVD
GALLUP
NM
873015748

Tel: 5057221000

KEZIA E COTTENOIR Information

Npi 1982930731
Pac Id 2062551641
Professional Enrollment Id I20091120000633
Last Name COTTENOIR
First Name KEZIA
Middle Name E
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DHHS PHS NAIHS GALLUP INDIAN MEDICAL CENTER
Group Practice Pac Id 3173436409
Number Of Group Practice Members 151
Line 1 Street Address 516 E NIZHONI BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GALLUP
State NM
Zip Code 873015748
Phone Number 5057221000
Hospital Affiliation Ccn 1 030084
Hospital Affiliation Lbn 1 CHINLE COMPREHENSIVE HEALTH CARE FACILITY
Hospital Affiliation Ccn 2 320061
Hospital Affiliation Lbn 2 GALLUP INDIAN MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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