Nurse Practitioner, Family
FLT LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1366810970 · enumerated 2015-09-14 · record updated 2015-09-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DAWN WULF CNP, OWNER · (575) 914-0055
Other names: OCOTILLO FAMILY PRACTICE
Addresses and phones
- Mailing address 313 W COUNTRY CLUB RD STE 15, ROSWELL, NM, 88201-5804 Google Maps Apple Maps OpenStreetMap
- Practice location 313 W COUNTRY CLUB RD STE 15, ROSWELL, NM, 88201-5804 (575) 914-0055 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License CNP-02765 NM
In this directory
Locations and evidence
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Practice location
ROSWELL, NM, 882015804
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.