Organization · Type 2 NPI

Aquarius Medical & Wellness Clinic, LLC

Primary Care Nurse Practitioner · Santa Fe, NM

NPI number 1689472904 Active

Practice location

6 Calle Medico Ste 4
Santa Fe, NM 87505-4761

Fax (505) 395-9251

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center 261QP2300XNone listed
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1689472904

Aquarius Medical & Wellness Clinic, LLC's National Provider Identifier is 1689472904, issued on Mar 4, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Santa Fe, NM. The record was last updated on Jul 21, 2025.