Healthcare Provider Details

I. General information

NPI: 1770703001
Provider Name (Legal Business Name): CHRISTINE C NARANJO R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1090 GOAT SPRINGS ROAD
TAOS NM
87571-1956
US

IV. Provider business mailing address

PO BOX 1674
ESPANOLA NM
87532-1674
US

V. Phone/Fax

Practice location:
  • Phone: 505-758-4224
  • Fax: 505-751-5211
Mailing address:
  • Phone: 505-758-4224
  • Fax: 505-751-5211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR13656
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberR13656
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: