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NPI Code Detail

MEDICARE: CURANA HEALTH OF NEW MEXICO LLC

MEDICARE: CURANA HEALTH OF NEW MEXICO LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1598352015
Entity Type Code : Organization
Provider Name (Legal Business Name) : CURANA HEALTH OF NEW MEXICO LLC
Provider Business Mailing Address
First Line : 5750 JOHNSTON ST STE 205
Second Line :
City : LAFAYETTE
State : LA
Zip : 70503-5345
Country : US
Telephone Number : 337-991-9276
Fax Number :
Provider Business Practice Location Address
First Line : 206 S CORONADO AVE
Second Line :
City : ESPANOLA
State : NM
Zip : 87532-2792
Country : US
Telephone Number : 337-991-9276
Fax Number :
Authorized Official
Title or Position : SVP OF ADMINISTRATIVE SERVICES
Name : NICOLE HOWARD
Credential :
Telephone Number : 337-991-9276
Provider Enumeration Date : 12/30/2020
Last Update Date : 09/18/2025

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Directions to “CURANA HEALTH OF NEW MEXICO LLC ” Practice Location

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