Cross Heart Care LLC
NPI #1790453561 in Fort Sumner, New Mexico
Provider Information
- NPI Number
- 1790453561
- Entity Type
- Organization
- Organization Name
- Cross Heart Care LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 5, 2021
- Last Updated
- Oct 27, 2021
Practice Location
- Address
- 848 NORTH 4TH STREET
- City
- Fort Sumner
- State
- New Mexico
- ZIP Code
- 88119-9411
- Phone
- (575) 355-2273
Authorized Official
- Name
- MARY MOLLY KENYON, APRN-CNP
- Title
- OWNER PROVIDER
- Phone
- (575) 355-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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