1578862975 NPI number — WOMENS WELLNESS BIENESTAR DE LA MUJER, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578862975 NPI number — WOMENS WELLNESS BIENESTAR DE LA MUJER, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOMENS WELLNESS BIENESTAR DE LA MUJER, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578862975
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/30/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2286
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RANCHOS DE TAOS
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87557-2286
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
575-613-6118
Provider Business Mailing Address Fax Number:
866-521-1434

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1331 MAESTAS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAOS
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87571-6268
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
575-613-6118
Provider Business Practice Location Address Fax Number:
866-521-1434
Provider Enumeration Date:
03/24/2011

Additional Information

Authorized Official

Authorized Official Last Name:
PITKIN
Authorized Official First Name:
CORAL
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
575-613-6118

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X , with the licence number:  CNP00496 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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