Organization
MESA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA L HEFKER FNP-C (OWNER)
(505) 425-6731
Entity
Organization
Contact information
Practice address
260 MILLS AVE, LAS VEGAS, NM 87701-4125
(505) 425-6731
(505) 454-9193
Mailing address
260 MILLS AVE, LAS VEGAS, NM 87701-4125
(505) 425-6731
(505) 454-9193
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R34642
NM
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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