Healthcare Provider Details

I. General information

NPI: 1801516489
Provider Name (Legal Business Name): NEXUS HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 BECKNER ROAD
SANTA FE NM
87507
US

IV. Provider business mailing address

4200 BECKNER ROAD
SANTA FE NM
87507
US

V. Phone/Fax

Practice location:
  • Phone: 505-670-8292
  • Fax:
Mailing address:
  • Phone: 505-670-8292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICOLE M MCKINNEY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 505-670-8292