Individual
REBECCA L ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1998 N MOTEL BLVD, LAS CRUCES, NM 88007-4100
(575) 541-5941
(575) 541-5048
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3088
(575) 267-4606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R66850
NM
363LF0000X
Family Nurse Practitioner
Primary
72211
NM
Other
Enumeration date
12/16/2013
Last updated
03/28/2023
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