# HEALTHY START PEDIATRICS LLC

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

## Provider details

- **NPI number:** 1760100606
- **Authorized official:** MRS. DANNA KAY LARA CNP (PRACTICE OWNER)
- **Authorized official phone:** (575) 224-2552

## Contact information

- **Practice address:** 1745 AVENIDA DE MERCADO, LAS CRUCES, NM 88005-4057
- **Practice address phone:** (940) 594-6415
- **Mailing address:** 1745 AVENIDA DE MERCADO, LAS CRUCES, NM 88005-4057
- **Mailing address phone:** (575) 224-5225
- **Mailing address fax:** (575) 224-6858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2022
- **Last updated:** 08/18/2022