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NPI Code Detail

MEDICARE: GINA NOEL HOLGUIN CNP

MEDICARE: GINA NOEL HOLGUIN CNP
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
1363LF0000XFamily Nurse Practitioner53453NM

General Provider Information

NPI Number : 1851276950
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA NOEL HOLGUIN CNP
Provider Business Mailing Address
First Line : 385 CALLE DE ALEGRA BLDG A
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-3423
Country : US
Telephone Number : 575-526-1105
Fax Number : 575-524-4266
Provider Business Practice Location Address
First Line : 1950 S SONOMA RANCH BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-1706
Country : US
Telephone Number : 575-525-4811
Fax Number : 575-525-4812
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2025
Last Update Date : 08/07/2025

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Directions to “ GINA NOEL HOLGUIN CNP” Practice Location

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