Individual
MRS. DANIELLE LAURA MAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1007 N POPE ST, SILVER CITY, NM 88061-5161
(575) 597-2463
Mailing address
530 DEMOSS STREET, LORDSBURG, NM 88045-2618
(575) 542-8384
(575) 542-2388
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-02275
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336151YKWY
MEDICARE PTAN
NM
05
—
44287011
—
NM
Enumeration date
11/04/2013
Last updated
09/09/2014
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