Healthcare Provider Details

I. General information

NPI: 1386130227
Provider Name (Legal Business Name): AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES - NM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2018
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W 21ST ST STE B
CLOVIS NM
88101-4084
US

IV. Provider business mailing address

2255 GLADES RD STE 228W
BOCA RATON FL
33431-7391
US

V. Phone/Fax

Practice location:
  • Phone: 575-935-5051
  • Fax: 575-935-5054
Mailing address:
  • Phone: 561-699-7101
  • Fax: 561-658-6142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHRYN NELL GARRETT
Title or Position: EVP
Credential:
Phone: 561-699-7101