Organization
MARY L. ESTES, CFNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L. MOORE-ESTES FNP-C (OWNER)
(575) 937-2516
Entity
Organization
Contact information
Practice address
106 BEULAH LANE, RUIDOSO, NM 88355-0009
(575) 630-1055
(575) 630-1066
Mailing address
PO BOX 9, RUIDOSO, NM 88355-0009
(575) 630-1055
(575) 630-1066
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CNP-02204
NM
Other
Enumeration date
07/16/2013
Last updated
09/18/2015
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