Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWEN PATRIARCA, SLP
Active Sole ProprietorAudiologist · CLOVIS, NM
Registration Details
- NPI Number
- 1679606677
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2007 (19.11008928602 yrs)
- Last Updated
- Nov 1, 2017
- Licenses
-
655 (NM)655 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 SUTTER PLACESTUDENT SUPPORT CENTERCLOVIS, NM, 880129000Browse NM providers · Browse ZIP 88012
- Phone
- 5757694490
- Fax
- 5757694533
- Primary Specialty
-
Audiologist
231H00000X
- Additional Specialty
- Audiologist
Other Audiologist Providers in CLOVIS, NM
| Name | Credential | NPI |
|---|---|---|
| MS. BEVERLY ELAINE RINEY THERING | MS CFA | 1508959560 |
| LISA CLAIRE CANNON | MS CCC A | 1801965959 |
| ALI LUNT | AU | 1336494368 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.