Healthcare Provider Details

I. General information

NPI: 1841080587
Provider Name (Legal Business Name): MARGOT VOS CCSS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 N ALAMEDA BLVD
LAS CRUCES NM
88005-2291
US

IV. Provider business mailing address

4188 MISSION BELL AVE
LAS CRUCES NM
88011-9609
US

V. Phone/Fax

Practice location:
  • Phone: 707-996-1666
  • Fax:
Mailing address:
  • Phone: 707-996-1666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number59366
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: