| Mary L. Estes, Cfnp, Llc | |
|
106 Beulah Lane Ruidoso NM 88355-0009 | |
| (575) 630-1055 | |
| (575) 630-1066 |
| Full Name | Mary L. Estes, Cfnp, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 106 Beulah Lane, Ruidoso, New Mexico |
| Authorized Official Name and Position | Mary L. Moore-estes (OWNER) |
| Authorized Official Contact | 5759372516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary L. Estes, Cfnp, Llc Po Box 9 Ruidoso NM 88355-0009 Ph: (575) 630-1055 | Mary L. Estes, Cfnp, Llc 106 Beulah Lane Ruidoso NM 88355-0009 Ph: (575) 630-1055 |
| NPI Number | 1952742173 |
|---|---|
| Provider Enumeration Date | 07/16/2013 |
| Last Update Date | 09/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952742173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CNP-02204 (New Mexico) | Primary |
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