Individual
MARIBEL SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1112 N MAIN ST, ROSWELL, NM 88201-5010
(575) 627-4200
Mailing address
1112 N MAIN ST, ROSWELL, NM 88201-5010
(575) 627-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
74612
NM
364SF0001X
Family Health Clinical Nurse Specialist
74612
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74612
NM LICENSE
NM
Enumeration date
07/17/2023
Last updated
02/27/2024
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