Healthcare Provider Details

I. General information

NPI: 1174292122
Provider Name (Legal Business Name): MONIQUE SANCHEZ FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONIQUE TAFOYA FNP-C

II. Dates (important events)

Enumeration Date: 09/12/2021
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2735 NORTHRISE DR
LAS CRUCES NM
88011-0897
US

IV. Provider business mailing address

2735 NORTHRISE DR
LAS CRUCES NM
88011-0897
US

V. Phone/Fax

Practice location:
  • Phone: 575-288-4070
  • Fax: 833-973-3822
Mailing address:
  • Phone: 575-288-4070
  • Fax: 833-973-3822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number65113
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: