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Mesa Medical Llc
Family Nurse Practitioner in Las Vegas, New Mexico
NPI 1154416584

Mesa Medical Llc is a Family Nurse Practitioner based in Las Vegas, NM and is specialized in Family. Mesa Medical Llc practices in Las Vegas, NM. The NPI Number for Mesa Medical Llc is 1154416584 and holds a License No. R34642 (New Mexico).

The current practice location address for Mesa Medical Llc is 260 Mills Ave, Las Vegas, NM and can be reached out via phone at 505-425-6731 and via fax at 505-454-9193.

Location: 260 Mills Ave, Las Vegas, NM, 87701-4125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154416584
Provider Name
Mesa Medical Llc
Credential
Provider Entity Type
Organization
Address
260 Mills Ave, Las Vegas, NM, 87701-4125
Phone Number
505-425-6731
Fax Number
505-454-9193
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
260 Mills Ave
City
Las Vegas
State
New Mexico
Zip
87701-4125
Phone Number
505-425-6731
Fax Number
505-454-9193
person
Provider Business Mailing Address Details
Address
260 Mills Ave
City
Las Vegas
State
New Mexico
Zip
87701-4125
Phone Number
505-425-6731
Fax Number
505-454-9193
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R34642 (New Mexico)
Definition
Definition to come...
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