CHERYL GRANILLO CNP
NPI 1003809708
Nurse Practitioner in Deming, NM

Q: What is Cheryl Granillo's NPI number?

The NPI number for Cheryl Granillo is 1003809708. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Q: What is Cheryl Granillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Cheryl Granillo was last updated on August 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 26, 2005

125 CHAPARREL BLVD NW, DEMING, NM 88030(575) 546-4800(575) 546-0685 Get Directions Write a Review

NPPES record last updated: August 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cheryl Granillo Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHERYL GRANILLO CNP (NPI 1003809708) is an individual nurse practitioner in Deming, New Mexico, licensed in New Mexico (CNP01279) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1003809708

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCHERYL GRANILLOCredential: CNP

Location Address125 CHAPARREL BLVD NWDeming, NM 88030-8629

Mailing AddressPo Box 370Hatch, NM 87937-0370 · (575) 267-3280 · Fax (575) 267-1747

Phone(575) 546-4800

Fax(575) 546-0685

Sole ProprietorNo

Enumeration DateAugust 26, 2005

Last NPPES UpdateAugust 1, 2011

✔ NPI 1003809708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in NM · CNP01279✔ Licensed in NM · R53026

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

125 CHAPARREL BLVD NW, Deming, NM 88030

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Other Identifiers 3

Medicaid53985788NM

Medicare ID-Type Unspecified341420605NM

Medicare UPINQ26715

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH SARTIN LMSW

Social Worker (Clinical)