Healthcare Provider Details

I. General information

NPI: 1750191706
Provider Name (Legal Business Name): ANNA NAVARRETE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2025
Last Update Date: 01/11/2025
Certification Date: 01/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2402 W PIERCE ST STE 6A
CARLSBAD NM
88220-3566
US

IV. Provider business mailing address

222 CHUCKWAGON RD
CARLSBAD NM
88220-8750
US

V. Phone/Fax

Practice location:
  • Phone: 575-689-8700
  • Fax:
Mailing address:
  • Phone: 575-302-9258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number82308
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: