Granillo, Cheryl

Granillo, Cheryl is an individual health care provider with primary practice located at 125 Chaparrel Blvd Nw , Deming NM 88030-8629. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Granillo, Cheryl can be contacted via phone (575) 546-4800.

Contact Information

Primary practice address
125 Chaparrel Blvd Nw Deming NM 88030-8629
Phone: (575) 546-4800
Fax: (575) 546-0685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R53026 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP01279 New Mexico

Profile Details

NPI number 1003809708
LBN Legal business name Granillo, Cheryl
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Aug 1st, 2011 - about 15 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003809708 NPPES
New Mexico MEDICAID 53985788

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