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NPI Code Detail

MEDICARE: MRS. MONIQUE ELAINE APODACA-ARMENDARIZ

MEDICARE: MRS. MONIQUE ELAINE APODACA-ARMENDARIZ
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
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720296304
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MONIQUE ELAINE APODACA-ARMENDARIZ
Provider Business Mailing Address
First Line : PO BOX 1228
Second Line :
City : LAS CRUCES
State : NM
Zip : 88004-1228
Country : US
Telephone Number : 505-647-8277
Fax Number :
Provider Business Practice Location Address
First Line : 1100 S MAIN ST
Second Line : SUITE 20
City : LAS CRUCES
State : NM
Zip : 88005-2917
Country : US
Telephone Number : 505-525-5635
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/09/2007

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Directions to “ MRS. MONIQUE ELAINE APODACA-ARMENDARIZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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