Healthcare Provider Details

I. General information

NPI: 1710809546
Provider Name (Legal Business Name): BELOW THE BELT HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 CANYON CLIFF DR
SANTA FE NM
87508-1462
US

IV. Provider business mailing address

15 CANYON CLIFF DR
SANTA FE NM
87508-1462
US

V. Phone/Fax

Practice location:
  • Phone: 505-216-6471
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GILLIAN NORRIS
Title or Position: CHIEF MEDICAL OFFICER
Credential: WHNP-BC
Phone: 505-216-6471