Individual
MS. CLARISSA C JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3 CALIENTE RD UNIT 10, SANTA FE, NM 87508-9209
(505) 535-3033
(505) 570-5501
Mailing address
3 CALIENTE RD UNIT 10, SANTA FE, NM 87508-9209
(505) 535-3033
(505) 570-5501
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-02161
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NUR-APRN-LIC-158552
MT
Other
Enumeration date
04/10/2013
Last updated
10/26/2024
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