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Ahnu Celtic Oasis LLC

Nurse Practitioner in Farmington, NM. Organization (NPI-2).

NPI number1629866058
StatusActive
Last updated in NPPESJun 25, 2026

Details

NPI
1629866058
Entity type
Organization (NPI-2)
Legal business name
Ahnu Celtic Oasis LLC
Organization subpart
No
Enumeration date
Apr 26, 2025
Certification date
Jun 25, 2026
Last updated
Jun 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes
101YM0800X Counselor, Mental Health––
1041C0700X Social Worker, Clinical––
363LA2200X Nurse Practitioner, Adult Health––
363LP2300X Nurse Practitioner, Primary Care––
173C00000X Reflexologist––
363LP0808X Nurse Practitioner, Psych/Mental Health––
101YA0400X Counselor, Addiction (Substance Use Disorder)––

Practice location

231 N Schwartz Ave
Farmington, NM 87401-5513

Phone 505-800-5848 · Fax 505-209-8923

Mailing address

231 N Schwartz Ave
Farmington, NM 87401-5513

Phone 505-458-6805 · Fax 505-372-6496

Authorized official

Sydney T Poe
Co-Owner/Manager
5054586805

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