| Judy Liesveld, CNP | |
|
2111 College Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5600 | |
| (505) 863-1820 | |
| Not Available |
| Full Name | Judy Liesveld |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 2111 College Dr, Gallup, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295707651 | NPI | - | NPPES |
| 99628 | Medicaid | NM | |
| PROVP14473 | Other | NM | MOLINA |
| 10002112 | Other | NM | LOVELACE HEALTH/SALUD |
| 85031326887301A120 | Other | CHAMPUS | |
| 469066 | Medicaid | AZ | |
| NM006180 | Other | NM | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R30234 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Judy Liesveld, CNP 1901 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5683 Ph: (505) 863-7000 | Judy Liesveld, CNP 2111 College Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5600 Ph: (505) 863-1820 |
Vernon Anthony Osborn, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828 Fax: 505-443-8345 | |
Mrs. Gail Crawford, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Mrs. Relindis Mana Akwanga, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 N Fifth St, Gallup, NM 87301 Phone: 505-863-3120 Fax: 505-863-2961 | |
Donna J Rich, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 432-888-4130 | |
Ms. Maria Elena Torres, ARNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1496 | |
John Simmons, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Nm Highway 564, Gallup, NM 87301 Phone: 505-542-0090 Fax: 520-542-0155 | |
Mrs. Sanaa Baker, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 College Dr, Gallup, NM 87301 Phone: 505-863-1820 |