Healthcare Provider Details

I. General information

NPI: 1689952517
Provider Name (Legal Business Name): HEDSNA HOPE ROCHA MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEDSNA HOPE NAVARRO

II. Dates (important events)

Enumeration Date: 07/26/2011
Last Update Date: 11/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2919 HILLRISE DR
LAS CRUCES NM
88011-4701
US

IV. Provider business mailing address

2919 HILLRISE DR
LAS CRUCES NM
88011-4701
US

V. Phone/Fax

Practice location:
  • Phone: 575-521-8500
  • Fax:
Mailing address:
  • Phone: 575-521-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-01811
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: