Whalio Doctors

NPI 1467630525

Cory James Cordova

Practitioner Licensed Vocational Nurse Taos, NM

Practice location

Address
1090 Goat Springs Rd, Taos, NM 87571
Phone
(505) 758-4224
Fax
(505) 751-5211
Mailing address
PO Box 1946 Taos Plains Indian Health Center, Taos, NM 87571

Registered specialties

Licensed Vocational Nurse Primary
Nursing Service Providers Taxonomy 164X00000X Licence CAVN228748 (CA)

Registry record

NPI
1467630525
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Jan 2008
Record last updated
1 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.