Individual
DR. DEANNA JOY FRESQUEZ MYNATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(575) 522-7260
Mailing address
2052 ESTANCIA PL, LAS CRUCES, NM 88005-8239
(575) 621-7516
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
58762
NM
Other
Enumeration date
12/19/2019
Last updated
04/14/2021
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