Individual provider · NPI-1

Elizabeth Anaya

Specialist/Technologist, Athletic Trainer · Las Cruces, NM

NPI number1518486273
StatusActive
Last updated in NPPESSep 13, 2017

Details

NPI
1518486273
Entity type
Individual (NPI-1)
Name
Elizabeth Anaya
Sex
Female
Sole proprietor
No
Enumeration date
Sep 13, 2017
Last updated
Sep 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1780 E University Ave
Las Cruces, NM 88003-1229

Phone 575-646-0111

Mailing address

208 Fossil St
Anthony, NM 88021-8227

Phone 915-383-1442

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