Healthcare Provider Details

I. General information

NPI: 1649528621
Provider Name (Legal Business Name): HEIDI M PATTAROZZI ACNS-BC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEIDI ATTS RN

II. Dates (important events)

Enumeration Date: 08/21/2012
Last Update Date: 12/13/2022
Certification Date: 12/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 E LOHMAN AVE STE A
LAS CRUCES NM
88001-3117
US

IV. Provider business mailing address

1990 E LOHMAN AVE STE A
LAS CRUCES NM
88001-3117
US

V. Phone/Fax

Practice location:
  • Phone: 575-532-4405
  • Fax: 575-556-5921
Mailing address:
  • Phone: 575-522-4602
  • Fax: 575-522-2263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number59293
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberCNS-00234
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: