Marrujo-Moctezuma, Tennille Alexa

Marrujo-Moctezuma, Tennille Alexa is an sole proprietor health care provider with primary practice located at 4733 Salado Creek St , Las Cruces NM 88012-5072. She recently has 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Nursing Service Providers / Continuing Education/Staff Development, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Psychiatric/Mental Health, Adult. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Marrujo-Moctezuma, Tennille Alexa can be contacted via phone (575) 644-9254.

Contact Information

Primary practice address
4733 Salado Creek St Las Cruces NM 88012-5072
Phone: (575) 644-9254
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Nursing Service Providers / Continuing Education/Staff Development 163WC1600X R63735 New Mexico
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X R63735 New Mexico
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X R63735 New Mexico

Profile Details

NPI number 1669246443
LBN Legal business name Marrujo-Moctezuma, Tennille Alexa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2023
Last updated Jun 3rd, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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