Individual
PROF. MARIA THERESA BECERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5290 MCNUTT RD UNIT 2, SANTA TERESA, NM 88008-2002
(575) 589-1144
(575) 589-2008
Mailing address
5290 MCNUTT RD, SANTA TERESA, NM 88008-2001
(575) 589-1144
(575) 589-2008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
539455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178993503
—
TX
Enumeration date
04/20/2006
Last updated
07/21/2022
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