Search › New Mexico › 101YP2500X
Corrianne Broner
NPI 1861727992 · on the registry since 2009 · sole proprietor
Practice
- Address
- 624 E Main St
Tucumcari, NM 88401 - Phone
- (505) 307-6476
- Organisation at this address
- Loving Embodiment Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-18
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