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NPI Code Detail

MEDICARE: KARLA JANET ITZEP

MEDICARE: KARLA JANET ITZEP
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 WorkerSWB20230013NM

General Provider Information

NPI Number : 1902480239
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA JANET ITZEP
Provider Business Mailing Address
First Line : 301 PERKINS DR STE B
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-3248
Country : US
Telephone Number : 575-526-6682
Fax Number :
Provider Business Practice Location Address
First Line : 301 PERKINS DR STE B
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-3248
Country : US
Telephone Number : 575-526-6682
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2021
Last Update Date : 03/02/2026

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Directions to “ KARLA JANET ITZEP ” Practice Location

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