Healthcare Provider Details

I. General information

NPI: 1033928627
Provider Name (Legal Business Name): ZIA WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 N RIDGE LOOP DR
SILVER CITY NM
88061-7243
US

IV. Provider business mailing address

3201 N RIDGE LOOP DR
SILVER CITY NM
88061-7243
US

V. Phone/Fax

Practice location:
  • Phone: 575-956-6390
  • Fax:
Mailing address:
  • Phone: 575-956-6390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JANET SALCIDO
Title or Position: REGISTERED AGENT
Credential: FNP-C
Phone: 575-640-7548