Individual
MARREN ONYALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
205 W. BOUTZ RD, BLDG 8, STE 1, LAS CRUCES, NM 88005-1766
(575) 521-4555
Mailing address
205 W. BOUTZ RD, BLDG 8, STE 1, LAS CRUCES, NM 88005
(575) 521-4555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03038
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP-03038
NM
Other
Enumeration date
06/02/2016
Last updated
03/07/2024
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