Individual
DORA MARICELA HERNANDEZ-STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1170 N SOLANO DR, LAS CRUCES, NM 88001-2371
(575) 528-5180
Mailing address
517 N PARK DR, LAS CRUCES, NM 88005-3891
(575) 528-5180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP00524
NM
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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