Fos Wellness, Ltd
Nurse Practitioner, Family in Portales, NM. Organization (NPI-2).
NPI number1982185948
StatusActive
Last updated in NPPESNov 4, 2021
Details
- NPI
- 1982185948
- Entity type
- Organization (NPI-2)
- Legal business name
- Fos Wellness, Ltd
- Organization subpart
- Yes
- Enumeration date
- Aug 27, 2018
- Certification date
- Nov 4, 2021
- Last updated
- Nov 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 163W00000X | Registered Nurse | RN-72322 | NM | |
| 163WD0400X | Registered Nurse, Diabetes Educator | RN-72322 | NM | |
| 163WN1003X | Registered Nurse, Nutrition Support | RN-72322 | NM |
Other names
- Trinity Christian Care (Doing Business As)
Practice location
1698 S Roosevelt Road 13Portales, NM 88130-8705
Phone 575-607-8702 · Fax 800-421-8110
Mailing address
1698 S Roosevelt Road 13Portales, NM 88130-8705
Phone 575-607-8702 · Fax 800-421-8110
Other practice locations
1812 S Roosevelt Road 8
Portales, NM 88130-9724
Portales, NM 88130-9724
Phone 575-607-8702
Authorized official
Rebecca Kizer
President
5756078702
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Nurse Practitioner providers in Portales, NM
- Jamie Bassell, CNPNPI 1841736915
- Teresa Claire EvanNPI 1124422597
- Laura L Lowrey, NPNPI 1720033004
- Johanna Christine Pettrey, FNP-BCNPI 1265413447
- Jonathan ReddNPI 1366918963
- Sylvia Anne Rife, FNPNPI 1245292242
- Martha Slemp Thorsen, CNPNPI 1952392615
- Lindsay Young, FNP-CNPI 1063999852
All 9 Family Nurse Practitioner providers in Portales · All 423 providers in Portales
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.