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Laura Mardo, CNP
Family Nurse Practitioner in Santa Rosa, New Mexico
NPI 1720432271

Laura Mardo is a Family Nurse Practitioner based in Santa Rosa, NM and is specialized in Family. Laura Mardo practices in Santa Rosa, NM and has the professional credentials of CNP. The NPI Number for Laura Mardo is 1720432271 and holds a License No. CNP-02904 (New Mexico).

The current practice location address for Laura Mardo is 117 Camino De Vida, Santa Rosa, NM and can be reached out via phone at 575-472-4311 and via fax at 575-472-4313.

Location: 117 Camino De Vida, Santa Rosa, NM, 88435-2267
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720432271
Provider Name
Laura Mardo
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
117 Camino De Vida, Santa Rosa, NM, 88435-2267
Phone Number
575-472-4311
Fax Number
575-472-4313
Provider Enumeration Date
04/21/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81833288 05 NM
institution
Provider Business Practice Location Address Details
Address
117 Camino De Vida
City
Santa Rosa
State
New Mexico
Zip
88435-2267
Phone Number
575-472-4311
Fax Number
575-472-4313
person
Provider Business Mailing Address Details
Address
117 Camino De Vida
City
Santa Rosa
State
New Mexico
Zip
88435-2267
Phone Number
575-472-4311
Fax Number
575-472-4313
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
CNP-02904 (New Mexico)
Definition
Definition to come...
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