Healthcare Provider Details

I. General information

NPI: 1881588564
Provider Name (Legal Business Name): AMERICAS HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3949 CORRALES RD STE 105
CORRALES NM
87048-9347
US

IV. Provider business mailing address

8150 SAND SPRINGS CIR NW
ALBUQUERQUE NM
87114-6087
US

V. Phone/Fax

Practice location:
  • Phone: 949-820-1743
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ERICA BACA
Title or Position: FNP/OWNER
Credential:
Phone: 949-820-1743