MEDICARE: MARY HUNT BORGANELLI CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	67085	NM

General Provider Information

NPI Number	:	1316277734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY HUNT BORGANELLI CRNP

Provider Business Mailing Address
First Line	:	780 W CHERRY LN APT 202
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-8878
Country	:	US
Telephone Number	:	740-310-2027
Fax Number	:

Provider Business Practice Location Address
First Line	:	780 W CHERRY LN APT 202
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-8878
Country	:	US
Telephone Number	:	740-310-2027
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2010
Last Update Date	:	06/18/2026

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