Organization · Type 2 NPI
New Mexico Family Medicine
Family Nurse Practitioner · Moriarty, NM
NPI number
1508643479
Active
Practice location
2005A W US Route 66
Moriarty, NM 87035-1007
Fax (833) 428-7070
Mailing address
PO Box 2863
Moriarty, NM 87035-2863
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1508643479
New Mexico Family Medicine's National Provider Identifier is 1508643479, issued on Sep 13, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moriarty, NM. The record was last updated on Mar 13, 2025.