Healthcare Provider Details

I. General information

NPI: 1235162918
Provider Name (Legal Business Name): WOMEN'S HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 10/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W ALAMEDA ST STE 25
SANTA FE NM
87501-1673
US

IV. Provider business mailing address

901 W ALAMEDA ST STE 25
SANTA FE NM
87501-1673
US

V. Phone/Fax

Practice location:
  • Phone: 505-988-8869
  • Fax: 505-955-9496
Mailing address:
  • Phone: 505-988-8869
  • Fax: 505-955-9496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRYCIA R SANCHEZ
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 505-955-9495