Healthcare Provider Details

I. General information

NPI: 1720373004
Provider Name (Legal Business Name): WHFP,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2011
Last Update Date: 06/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2865 CERRILLOS RD
SANTA FE NM
87507-2311
US

IV. Provider business mailing address

PO BOX 22267
SANTA FE NM
87502-2267
US

V. Phone/Fax

Practice location:
  • Phone: 505-603-9373
  • Fax: 505-473-0044
Mailing address:
  • Phone: 505-603-9373
  • Fax: 505-473-0044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MS. LORRAINE HERRERA
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 505-603-9373