Provider Demographics
NPI:1407043300
Name:FRISBIE-VEAL, MARIA ADELINA (RN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ADELINA
Last Name:FRISBIE-VEAL
Suffix:
Gender:F
Credentials:RN, FNP-C
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Mailing Address - Street 1:PO BOX 1063
Mailing Address - Street 2:
Mailing Address - City:SANTA TERESA
Mailing Address - State:NM
Mailing Address - Zip Code:88008-1063
Mailing Address - Country:US
Mailing Address - Phone:575-332-4271
Mailing Address - Fax:866-232-9241
Practice Address - Street 1:103 LIVINGSTON LOOP
Practice Address - Street 2:BLDG B STE 4
Practice Address - City:SANTA TERESA
Practice Address - State:NM
Practice Address - Zip Code:88008-9747
Practice Address - Country:US
Practice Address - Phone:575-332-4271
Practice Address - Fax:866-232-9241
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2017-05-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX658423363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX658423OtherTX STATE LICENSE
NMCNP01432OtherNEW MEXICO STATE LICENSE