Individual
MELISSA ANNE PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 N ALAMEDA BLVD, LAS CRUCES, NM 88005-2610
(505) 993-2673
Mailing address
2608 SAN ANDRES DR, LAS CRUCES, NM 88007-8020
(915) 799-1456
(915) 564-6104
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
78040
NM
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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