Provider Demographics
NPI:1598573008
Name:TIME IS PRECIOUS CERTIFICATIONS PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:TIME IS PRECIOUS CERTIFICATIONS PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TENNILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRUJO-MOCTEZUMA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP-PMHNP-BC
Authorized Official - Phone:575-644-9254
Mailing Address - Street 1:4733 SALADO CREEK ST
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-5072
Mailing Address - Country:US
Mailing Address - Phone:575-644-9254
Mailing Address - Fax:
Practice Address - Street 1:4733 SALADO CREEK ST
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88012-5072
Practice Address - Country:US
Practice Address - Phone:575-644-9254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty