Individual
MR. MICHAEL ROBERT PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-PMHNP-BC
Contact information
Practice address
701 KAY LYNN DR, LAS VEGAS, NM 87701-5117
(505) 429-3134
Mailing address
701 KAY LYNN DR, LAS VEGAS, NM 87701-5117
(505) 429-3134
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53315
NM
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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