Healthcare Provider Details

I. General information

NPI: 1508862236
Provider Name (Legal Business Name): SHEILA LYNN SACHS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 MALL DR
LAS CRUCES NM
88011-8128
US

IV. Provider business mailing address

1100 S MAIN ST STE A
LAS CRUCES NM
88005-2952
US

V. Phone/Fax

Practice location:
  • Phone: 505-521-7181
  • Fax: 505-521-7199
Mailing address:
  • Phone: 505-526-1105
  • Fax: 505-524-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR09912
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: