MARY ELLEN CERRONI PA-C
NPI 1811161938
Physician Assistant - Surgical in Farmington, NM

Q: What is Mary Ellen Cerroni's NPI number?

The NPI number for Mary Ellen Cerroni is 1811161938. It was assigned to this individual provider in the NPPES registry on April 18, 2008.

Q: What is Mary Ellen Cerroni's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since April 18, 2008

801 W MAPLE ST, FARMINGTON, NM 87401(505) 609-2258(505) 609-2259 Get Directions Write a Review

NPPES record last updated: April 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Ellen Cerroni Pa-c NPPES

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

MARY ELLEN CERRONI PA-C (NPI 1811161938) is an individual surgical provider in Farmington, New Mexico, licensed in New Mexico (1021219) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1811161938

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMARY ELLEN CERRONICredential: PA-C

Location Address801 W MAPLE STFarmington, NM 87401-5630

Mailing AddressPo Box 6210Farmington, NM 87499-6210 · (505) 609-2258 · Fax (505) 609-2259

Phone(505) 609-2258

Fax(505) 609-2259

Sole ProprietorNo

Enumeration DateApril 18, 2008

✔ NPI 1811161938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NM · 1021219

801 W MAPLE ST, Farmington, NM 87401

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