Individual
MARY BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
(505) 454-2100
(505) 454-2222
Mailing address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
(505) 454-2100
(505) 454-2222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R31075
NM
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
R31075
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65324251
—
NM
Enumeration date
07/30/2006
Last updated
02/14/2011
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