Healthcare Provider Details

I. General information

NPI: 1962204396
Provider Name (Legal Business Name): SARAH BOYD FLORI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 HOSPITAL DR STE 500
SANTA FE NM
87505-4794
US

IV. Provider business mailing address

517 CAMINO SOLANO
SANTA FE NM
87505-0767
US

V. Phone/Fax

Practice location:
  • Phone: 505-670-1976
  • Fax: 505-983-7212
Mailing address:
  • Phone: 505-699-8142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number53061
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: