Mesa Medical LLC
NPI #1154416584 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1154416584
- Entity Type
- Organization
- Organization Name
- Mesa Medical LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 260 MILLS AVE
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-4125
- Phone
- (505) 425-6731
Authorized Official
- Name
- MS. MARCIA L HEFKER, FNP-C
- Title
- OWNER
- Phone
- (505) 425-6731
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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