Search › New Mexico › 363LF0000X
Johanna Pettrey, FNP-BC
NPI 1265413447 · on the registry since 2005
Practice
- Address
- 1515 W Fir St
Portales, NM 88130 - Phone
- (575) 356-6695
- Organisation at this address
- La Casa De Buena Salud Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
363LF0000X - Licence states on file
- NM, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico