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Dr. Diana Portillo, DNP,FNP-C,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Las Cruces, New Mexico
NPI 1194049841

Diana Portillo is a Psychiatric/Mental Health Nurse Practitioner based in Las Cruces, NM and is specialized in Psychiatric/Mental Health. Diana Portillo practices in Las Cruces, NM and has the professional credentials of DNP,FNP-C,PMHNP-BC. The NPI Number for Diana Portillo is 1194049841 and holds a License No. CNP-01613 (New Mexico).

The current practice location address for Diana Portillo is 330 N Campo St, Las Cruces, NM and can be reached out via phone at 575-288-1336 and via fax at 575-222-4453. You can also correspond with Diana Portillo through the mailing address at PO BOX 1731, LAS CRUCES, NM - 88004-1731 (mailing address contact number: 575-288-1336).

Location: 330 N Campo St, Las Cruces, NM, 88004-1731
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Provider Profile Details
NPI Number
1194049841
Provider Name
Diana Portillo
Credential
DNP,FNP-C,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
330 N Campo St, Las Cruces, NM, 88004-1731
Phone Number
575-288-1336
Fax Number
575-222-4453
Provider Enumeration Date
03/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20636865 05 NM
NMA100470 01 NM MEDICARE
institution
Provider Business Practice Location Address Details
Address
330 N Campo St
City
State
Zip
88001-3433
Phone Number
575-288-1336
Fax Number
575-222-4453
person
Provider Business Mailing Address Details
Address
330 N Campo St
City
State
Zip
88001-3433
Phone Number
575-288-1336
Fax Number
575-222-4453
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
CNP-01613 (New Mexico)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
CNP-01613 (New Mexico)
Definition
Definition to come...
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