Individual
DEBORAH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP
Contact information
Practice address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(575) 647-2800
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-01627
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP-01627
CERTIFIED NURSE PRACTITIONER LICENSE NUMBER
NM
Enumeration date
05/10/2010
Last updated
11/11/2015
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