Healthcare Provider Details

I. General information

NPI: 1720969132
Provider Name (Legal Business Name): CHELSIE CARTER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2908 SNOW RD
LAS CRUCES NM
88005-4434
US

IV. Provider business mailing address

2908 SNOW RD
LAS CRUCES NM
88005-4434
US

V. Phone/Fax

Practice location:
  • Phone: 575-331-6978
  • Fax: 575-262-5361
Mailing address:
  • Phone: 575-313-5996
  • Fax: 575-262-5361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number88859
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: