institution
Destino Bella, Llc.
Family Nurse Practitioner in Las Cruces, New Mexico
NPI 1417578816

Destino Bella, Llc. is a Family Nurse Practitioner based in Las Cruces, NM and is specialized in Family. Destino Bella, Llc. practices in Las Cruces, NM. The NPI Number for Destino Bella, Llc. is 1417578816 and holds a License No. (New Mexico).

The current practice location address for Destino Bella, Llc. is 755 S Telshor Blvd Ste S102, Las Cruces, NM and can be reached out via phone at 575-222-4355 and via fax at 575-800-0344.

Location: 755 S Telshor Blvd Ste S102, Las Cruces, NM, 88011-4688
institution
Provider Profile Details
NPI Number
1417578816
Provider Name
Destino Bella, Llc.
Credential
Provider Entity Type
Organization
Address
755 S Telshor Blvd Ste S102, Las Cruces, NM, 88011-4688
Phone Number
575-222-4355
Fax Number
575-800-0344
Provider Enumeration Date
04/27/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28909585 05 NM
413154YRND 01 NM MEDICARE
institution
Provider Business Practice Location Address Details
Address
755 S Telshor Blvd Ste S102
City
State
Zip
88011-4688
Phone Number
575-222-4355
Fax Number
575-800-0344
person
Provider Business Mailing Address Details
Address
755 S Telshor Blvd Ste S102
City
State
Zip
88011-4688
Phone Number
575-222-4355
Fax Number
575-800-0344
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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