Halcyon Health Of The Southwest, LLC
Nurse Practitioner in Las Cruces, NM. Organization (NPI-2).
NPI number1760961908
StatusActive
Last updated in NPPESDec 6, 2018
Details
- NPI
- 1760961908
- Entity type
- Organization (NPI-2)
- Legal business name
- Halcyon Health Of The Southwest, LLC
- Organization subpart
- No
- Enumeration date
- Aug 8, 2018
- Last updated
- Dec 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | CNP-02392 | NM | Yes |
Practice location
1355 California Ave Ste BLas Cruces, NM 88001
Phone 575-523-8951 · Fax 575-366-8011
Mailing address
1355 California Ave Ste BLas Cruces, NM 88001-4187
Phone 575-523-8951 · Fax 575-366-8011
Authorized official
Misti Lynn
Owner / Provider
9316366648
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