Organization
AZURITE SERVICES PC
Active
Organization
AZURITE SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BETHANY CNP (OWNER)
(575) 317-7934
Entity
Organization
Contact information
Practice address
613 W 2ND ST STE 1, ROSWELL, NM 88201-4671
(575) 755-5555
(575) 755-5556
Mailing address
PO BOX 2406, ROSWELL, NM 88202-2406
(575) 208-0106
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
CNP02864
NM
Other
Enumeration date
10/24/2016
Last updated
07/05/2022
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