Individual
MARYBETH ANN PIRRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
519 SHILOH RD, MESILLA PARK, NM 88047
(575) 644-6367
Mailing address
519 SHILOH RD, MESILLA PARK, NM 88047
(575) 644-6367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11851
CA
363LF0000X
Family Nurse Practitioner
81682
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
81682
NM
Other
Enumeration date
07/19/2024
Last updated
11/18/2024
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