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NPI Code Detail

MEDICARE: NANCY Y TALAMANTES

MEDICARE:   NANCY Y TALAMANTES
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
11041C0700XClinical Social WorkerC-09162NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11609302454OTHERGROUP NPI

General Provider Information

NPI Number : 1720416159
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY Y TALAMANTES
Provider Business Mailing Address
First Line : 205 W BOUTZ RD
Second Line : BLDG 1
City : LAS CRUCES
State : NM
Zip : 88005-3259
Country : US
Telephone Number : 575-532-7000
Fax Number : 575-532-7113
Provider Business Practice Location Address
First Line : 206 E FLEMING AVE
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3448
Country : US
Telephone Number : 575-680-6450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2013
Last Update Date : 03/17/2018

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Directions to “ NANCY Y TALAMANTES ” Practice Location

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