Organization
ELITE MIND AND BODY WELLNESS: MENTAL HEALTH AND PRIMARY CARE SERVICES,
Active
Other names
Elite Mind and Body Wellness: Mental Health and Primary Care Services,
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYBETH A PIRRONE APRN, FNP, PMHNP-C (OWNER/AUTHORIZED OFFICIAL)
(575) 644-6367
Entity
Organization
Contact information
Practice address
519 SHILOH RD, MESILLA PARK, NM 88047-9745
(575) 644-6367
Mailing address
519 SHILOH RD, MESILLA PARK, NM 88047-9745
(575) 644-6367
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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