-- CHERYL GRANILLO -- CNP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1003809708- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CNP
- Status
- Active
Contact & Location
- Address
- 125 CHAPARREL BLVD NW, DEMING, NM, 880308629
- Phone
- (575) 546-4800
- Fax
- (575) 546-0685
Specialties & Taxonomies
Nurse Practitioner
License: NM #R53026
Nurse Practitioner
Primary License: NM #CNP01279