Nancy A Lara, CNP
Nurse Practitioner, Gerontology in Las Cruces, NM. Individual provider (NPI-1).
NPI number1689147134
StatusActive
Last updated in NPPESOct 9, 2026
Details
- NPI
- 1689147134
- Entity type
- Individual (NPI-1)
- Name
- Nancy A Lara
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2019
- Certification date
- Oct 9, 2026
- Last updated
- Oct 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 54914 | NM | Yes |
| 207R00000X | Internal Medicine | 54914 | NM |
Practice location
2450 S Telshor BlvdLas Cruces, NM 88011-5141
Phone 575-556-5890
Mailing address
4072 Demos AveLas Cruces, NM 88011-4209
Phone 973-807-6446
Other practice locations
141 N Roadrunner Pkwy Ste 224
Las Cruces, NM 88011-2001
Las Cruces, NM 88011-2001
Phone 575-524-8888
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