Mary Orosco

Individual provider Active NPI General Practice Registered Nurse · Mescalero, NM

NPI 1982701231 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1982701231
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
R48082 (NM)
Practice address
318 Abalone Loop
Mescalero, NM 88340
Phone
(505) 464-4441
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R48082NMMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X R48082 NM Yes

Addresses

Primary practice location

318 Abalone Loop
Mescalero, NM 88340

Mailing address

W12 Goat Summit Dr
Mescalero, NM 88340-9624

Other providers in Mescalero, NM

All providers in Mescalero, NM · General Practice Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.