Healthcare Provider Details

I. General information

NPI: 1649695230
Provider Name (Legal Business Name): SIXTA GALINDO CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2014
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date: 05/18/2026
Reactivation Date: 06/19/2026

III. Provider practice location address

2771 RAIN SAGE
LOS LUNAS NM
87031-6580
US

IV. Provider business mailing address

2771 RAIN SAGE
LOS LUNAS NM
87031-6580
US

V. Phone/Fax

Practice location:
  • Phone: 505-859-9307
  • Fax:
Mailing address:
  • Phone: 505-859-9307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number65394
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: