Organization · Type 2 NPI

Bella Vida Health Services LLC

Psychiatric/Mental Health Nurse Practitioner · Las Cruces, NM

NPI number 1104442847 Active

Practice location

705 N Alameda Blvd
Las Cruces, NM 88005-2128

Call (575) 288-1336 Map

Fax (575) 222-4453

Mailing address

PO Box 1731
Las Cruces, NM 88004-1731

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center	261QP2300X	None listed
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

Wellness and Aesthetics LLCFamily Nurse Practitioner Las Cruces, NM NPI 1508482316
Rachel Saavedra, CNPFamily Nurse Practitioner Las Cruces, NM NPI 1568786820

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NPI record

NPI: 1104442847
Entity type: Organization (Type 2)
Issued: Jun 18, 2020
Last updated: Feb 24, 2025
Status: Active

Other names

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Bella Vida Health Services LLC · doing business as
Bella Vida Health Services LLC · doing business as

Authorized official

Dr. Diana Marie Portillo, DNP
Owner/provider
(575) 288-1336

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104442847

Bella Vida Health Services LLC's National Provider Identifier is 1104442847, issued on Jun 18, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Las Cruces, NM. The record was last updated on Feb 24, 2025.