Individual
MARIA PASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6900 GONZALES RD SW, ALBUQUERQUE, NM 87121-2401
(505) 831-2534
Mailing address
9027 RIALTO AVE SW, ALBUQUERQUE, NM 87121-2543
(505) 550-4239
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56613
NM
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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