# CHRISTENE VANCOTT CNM CFNP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114060092
- **Authorized official:** PEARIE K BRUDER (BUSINESS DEVELOPMENT DIRECTOR)
- **Authorized official phone:** (505) 647-8366

## Contact information

- **Practice address:** 2905 HILLRISE DR, BLDG 2 UNIT A, LAS CRUCES, NM 88011-4701
- **Practice address phone:** (505) 532-6061
- **Practice address fax:** (505) 532-6063
- **Mailing address:** PO BOX 1560, LAS CRUCES, NM 88004-1560
- **Mailing address phone:** (505) 647-8366
- **Mailing address fax:** (505) 647-8381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | R33894 | NM | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/22/2020
