Provider Demographics
NPI:1649528621
Name:PATTAROZZI, HEIDI M (ACNS-BC, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:M
Last Name:PATTAROZZI
Suffix:
Gender:F
Credentials:ACNS-BC, PMHNP-BC
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:ATTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1990 E LOHMAN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-3117
Mailing Address - Country:US
Mailing Address - Phone:575-522-4602
Mailing Address - Fax:575-522-2263
Practice Address - Street 1:1990 E LOHMAN AVE STE A
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-3117
Practice Address - Country:US
Practice Address - Phone:575-532-4405
Practice Address - Fax:575-556-5921
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM59293363LP0808X
NMCNS-00234364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult HealthGroup - Multi-Specialty