Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 363L00000X | Nurse Practitioner | | 59019 | NEW MEXICO | No |
2 | 363LA2200X | Nurse Practitioner | Adult Health | 5019 | NEW MEXICO | No |
3 | 363LG0600X | Nurse Practitioner | Gerontology | 5019 | NEW MEXICO | No |
4 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | 5019 | NEW MEXICO | Yes |