Individual
DESIREE DANIELLE MARTINEZ WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5141
(575) 522-8641
Mailing address
3940 PENNSYLVANIA PL, LAS CRUCES, NM 88012-0814
(505) 946-7512
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN-77659
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP-03396
NM
Other
Enumeration date
10/06/2017
Last updated
05/05/2021
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