Organization · Type 2 NPI
Medical Assisted Wellness LLC
Family Nurse Practitioner · Las Cruces, NM
NPI number
1649796699
Active
Practice location
121 Wyatt Dr Ste 3
Las Cruces, NM 88005-2960
Fax (575) 495-2000
Mailing address
4216 Auriga Ct
Las Cruces, NM 88011-0940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1649796699
Medical Assisted Wellness LLC's National Provider Identifier is 1649796699, issued on Aug 21, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Las Cruces, NM. The record was last updated on Oct 13, 2017.