Individual
MS. PILAR MARIE ANLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1650 HOSPITAL DR, SUITE 400, SANTA FE, NM 87505-4769
(505) 989-1975
(505) 467-8666
Mailing address
1650 HOSPITAL DR, SUITE 400, SANTA FE, NM 87505-4769
(505) 989-1975
(505) 467-8666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R28099
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008999972
—
NM
01
—
10685
PHP PROVIDER#
NM
01
—
NM01R83H
BCBS PROVIDER#
NM
Enumeration date
10/19/2006
Last updated
01/22/2015
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