Individual
DR. JOAN LOUISE CARRELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
455 SAINT MICHAELS DR, ST. VINCENT HOSPITALIST GROUP, SANTA FE, NM 87505-7601
(505) 989-6130
Mailing address
455 SAINT MICHAELS DR, ST. VINCENT HOSPITALIST GROUP, SANTA FE, NM 87505-7601
(505) 989-6130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2007-0254
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD3949
—
AK
Enumeration date
04/18/2007
Last updated
07/20/2011
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