Healthcare Provider Details

I. General information

NPI: 1154248821
Provider Name (Legal Business Name): CHRISTINE ANNA MUNOZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 THORPE RD
LAS CRUCES NM
88012-9776
US

IV. Provider business mailing address

PO BOX 370
HATCH NM
87937-0370
US

V. Phone/Fax

Practice location:
  • Phone: 575-382-9292
  • Fax: 575-382-2061
Mailing address:
  • Phone: 575-267-3280
  • Fax: 575-267-1747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number89751
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: