Individual provider · Type 1 NPI

Guadalupe S. Mata, CNP

Family Nurse Practitioner · Santa Rosa, NM

NPI number 1700608775 Active

Practice location

117 Camino De Vida Ste 300
Santa Rosa, NM 88435-2267

Call (575) 472-4311 Map

Fax (877) 651-0289

Other practice locations

  • 220 S 3rd St, Tucumcari, NM 88401-2802 · (575) 461-8631
  • 166 Hospital Dr, Raton, NM 87740-2002 · (575) 445-3626
  • 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 · (505) 434-0119
  • 1024 S Pacific Street, Las Vegas, NM 87701 · (505) 426-2599

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCNP-81461 (NM)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1700608775

Guadalupe S. Mata, CNP's National Provider Identifier is 1700608775, issued on Oct 30, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Santa Rosa, NM. The record was last updated on Oct 30, 2024.