Organization
DENOVO CLINICAL SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORENA CARRILLO HENDERSON APRN,MSN,FNP-C (NURSE PRACTITIONER)
(956) 739-1796
Entity
Organization
Contact information
Practice address
1245 COUNTRY CLUB RD STE 200, SANTA TERESA, NM 88008-9743
(575) 332-4633
(575) 332-4633
Mailing address
1245 COUNTRY CLUB RD STE 200, SANTA TERESA, NM 88008-9743
(575) 332-4633
(575) 332-4633
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
CNP-02601
NM
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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