Krista Nanette Mericle, RN | |
117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 | |
(575) 472-4311 | |
(877) 651-0289 |
Full Name | Krista Nanette Mericle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 117 Camino De Vida Ste 300, Santa Rosa, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023551363 | NPI | - | NPPES |
E7582 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | NM-73375 (New Mexico) | Secondary |
363LF0000X | Nurse Practitioner - Family | CNP-73289 (New Mexico) | Primary |
Entity Name | Guadalupe County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346249968 PECOS PAC ID: 9335118918 Enrollment ID: O20110629000074 |
Entity Name | Sunrise Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164055927 PECOS PAC ID: 6800226374 Enrollment ID: O20200423002808 |
Mailing Address | Practice Location Address |
---|---|
Krista Nanette Mericle, RN 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 Ph: (575) 472-4311 | Krista Nanette Mericle, RN 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 Ph: (575) 472-4311 |
Senora L Campos, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 Phone: 575-472-4311 Fax: 575-472-4313 | |
Lyrisa Sanchez, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 Phone: 575-472-4311 Fax: 877-651-0289 | |
Antje Postl, RN, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 Phone: 575-472-4311 Fax: 575-472-4313 | |
Guadalupe S Mata, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 Phone: 575-472-4311 Fax: 877-651-0289 | |
Laura Mardo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 Phone: 575-472-4311 Fax: 575-472-4313 | |
Mrs. Cynthia Ann Weir, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 724 Lake Dr, Santa Rosa, NM 88435 Phone: 505-472-4311 | |
Ms. Martha J Miller, BC-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 724 Lake Dr, Santa Rosa, NM 88435 Phone: 575-472-4311 Fax: 575-472-4313 |