Individual provider · Type 1 NPI

Autumn Zamora

Student in an Organized Health Care Education/Training Program · Taos, NM

NPI number 1114884491 Active

Practice location

105 Bertha Rd Ste B
Taos, NM 87571-7148

Mailing address

PO Box 1048
Ranchos De Taos, NM 87557-1048

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114884491

Autumn Zamora's National Provider Identifier is 1114884491, issued on Jan 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Taos, NM. The record was last updated on Jan 7, 2026.