Healthcare Provider Details

I. General information

NPI: 1235837766
Provider Name (Legal Business Name): KATHERINE ROXBY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1622 GALISTEO ST STE 200
SANTA FE NM
87505-4774
US

IV. Provider business mailing address

6324 BEAVER CT NE
RIO RANCHO NM
87144-1578
US

V. Phone/Fax

Practice location:
  • Phone: 505-984-0303
  • Fax: 505-984-1116
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number70219
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: