Individual
MATHEW BURRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
328 MAIN ST. SW, LOS LUNAS, NM 87031
(505) 916-5448
Mailing address
328 MAIN ST. SW, LOS LUNAS, NM 87031-8974
(505) 916-5446
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN-84431
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP-90557
NM
Other
Enumeration date
09/02/2024
Last updated
07/23/2026
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