Search › New Mexico › 104100000X
Mary Wyatt, MA
NPI 1700184132 · on the registry since 2011
Practice
- Address
- 404 Hunter St
Espanola, NM 87532 - Phone
- (505) 753-4123
- Fax
- (505) 753-6947
- Organisation at this address
- Las Cumbres Community Services
Las Cumbres Community ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-09
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