Nurse Practitioner, Psychiatric/Mental Health · 363LP0808X
Address on file
920 W Broadway St Hobbs, NM 88240-5529 (575) 393-3168
Enumerated
Feb 6, 2020
Record last updated
Jun 1, 2026
License states listed
AZ, NM, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in AZ, CA, CO, DC, FL, IA, IN, KS, MI, MO, NM, NV, NY, OH, OK, TX, VA, WA Certified Clinical Nurse Specialist (CNS), Nurse Practitioner
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.