Healthcare Provider Details

I. General information

NPI: 1962086876
Provider Name (Legal Business Name): DOROTHY ROCHELLE ALANIZ APRN - CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2021
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 N UNION AVE STE E
ROSWELL NM
88201-3068
US

IV. Provider business mailing address

207 N UNION AVE STE E
ROSWELL NM
88201-3068
US

V. Phone/Fax

Practice location:
  • Phone: 575-363-3189
  • Fax: 575-363-3088
Mailing address:
  • Phone: 575-363-3189
  • Fax: 575-363-3088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number55151
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number55151
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number55151
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: