Healthcare Provider Details

I. General information

NPI: 1740137066
Provider Name (Legal Business Name): ANGELA BIGELOW DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 SAN ACACIO ST
LAS CRUCES NM
88001-1562
US

IV. Provider business mailing address

1580 SAN ACACIO ST
LAS CRUCES NM
88001-1562
US

V. Phone/Fax

Practice location:
  • Phone: 575-915-7459
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number82958
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: