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Elite Primary Care LLC

Nurse Practitioner, Family in Las Cruces, NM. Organization (NPI-2).

NPI number1669945002
StatusActive
Last updated in NPPESAug 9, 2023

Details

NPI
1669945002
Entity type
Organization (NPI-2)
Legal business name
Elite Primary Care LLC
Organization subpart
No
Enumeration date
Jan 8, 2019
Certification date
Aug 9, 2023
Last updated
Aug 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes

Practice location

530 N Telshor Blvd Ste A
Las Cruces, NM 88011-8243

Phone 575-303-2929

Mailing address

Po Box 2845
Las Cruces, NM 88004-2845

Phone 575-993-9890

Other practice locations

1932 Lone Tree Ln
Las Cruces, NM 88011-4075

Phone 575-303-2929

Authorized official

Jaime Sanchez
Member
5759939890

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