Organization · NPI-2

Los Alamos Physicians Practices LLC

Nurse Practitioner · Espanola, NM

NPI number1497878664

StatusActive

Last updated in NPPESSep 11, 2025

Details

NPI: 1497878664
Entity type: Organization (NPI-2)
Legal business name: Los Alamos Physicians Practices LLC
Organization subpart: No
Enumeration date: Apr 10, 2007
Last updated: Sep 11, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363L00000X	Nurse Practitioner	–	–	Yes
207Q00000X	Family Medicine	–	–
207R00000X	Internal Medicine	–	–

Other names

Espanola Family Care (Doing Business As)

Practice location

1302 E Calle Merced
Espanola, NM 87532

Phone 505-753-9292

Mailing address

3917 West Rd
Los Alamos, NM 87544-2275

Authorized official

Michael Wiechart
Ceo
6153726508

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