Individual
MRS. SARA MAYELA ORNELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, MSN, APRN
Contact information
Practice address
535 S MIRANDA ST, LAS CRUCES, NM 88005-2823
(575) 647-2800
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
76360
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81121083
—
NM
Enumeration date
02/08/2024
Last updated
06/06/2024
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