Individual
TENNILLE ALEXA MARRUJO-MOCTEZUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4733 SALADO CREEK ST, LAS CRUCES, NM 88012-5072
(575) 644-9254
Mailing address
4733 SALADO CREEK ST, LAS CRUCES, NM 88012-5072
(575) 644-9254
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
81131
NM
Other
Enumeration date
11/13/2023
Last updated
11/22/2024
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