Healthcare Provider Details

I. General information

NPI: 1295549038
Provider Name (Legal Business Name): MARGARITA MELENDEZ APRN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 MISSOURI AVE STE 12
LAS CRUCES NM
88011-5061
US

IV. Provider business mailing address

2290 BRIGHT STAR AVE
LAS CRUCES NM
88011-5205
US

V. Phone/Fax

Practice location:
  • Phone: 575-522-6900
  • Fax:
Mailing address:
  • Phone: 575-993-9707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number82037
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: