NPI 1871553933

Michael Hennelly, MD

Practitioner Family Medicine Physician Jemez Pueblo, NM

Practice location

Address: 110 Sheep Springs, Jemez Pueblo, NM 87024-0279
Phone: (575) 834-7413
Fax: (575) 834-7517
Mailing address: PO Box 279, Jemez Pueblo, NM 87024-0279

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 75-167 (NM)

Other Family Medicine providers in New Mexico →

Registry record

NPI: 1871553933
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2006
Record last updated: 25 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.