Organization
NEW MEXICO TRUECARE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANYELLE MARIE ROMERO CNP (AUTHORIZED REPRESENTATIVE)
(505) 426-5682
Entity
Organization
Contact information
Practice address
9 PINE RIDGE DR, LAS VEGAS, NM 87701-9685
(505) 426-5682
Mailing address
9 PINE RIDGE DR, LAS VEGAS, NM 87701-9685
(505) 426-5682
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
01/31/2024
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