Healthcare Provider Details

I. General information

NPI: 1477498236
Provider Name (Legal Business Name): LIVE WELL MEDICAL & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 E SANGER ST
HOBBS NM
88240-4403
US

IV. Provider business mailing address

203 E SANGER ST
HOBBS NM
88240-4403
US

V. Phone/Fax

Practice location:
  • Phone: 575-552-5350
  • Fax:
Mailing address:
  • Phone: 575-552-5350
  • 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: MEGAN CHAVARRIA
Title or Position: OWNER
Credential: FNP-C
Phone: 575-552-5350