Individual
MARY-BETH COTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
UNIVERSITY OF NEW MEXICO HOSPITAL, 2211 LOMAS BLVD, NE, ALBUQUERQUE, NM 87106
(502) 589-8915
(502) 499-1259
Mailing address
933 BRADBURY DRIVE, SE SUITE 2222, ALBUQUERQUE, NM 87106-4374
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3008751
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
62822
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300010397
—
IN
05
—
7100306330
—
KY
01
—
K155701
MEDICARE
KY
Enumeration date
08/06/2014
Last updated
11/01/2023
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