Individual
KALIE FAIRCLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3485 NORTHRISE DR, LAS CRUCES, NM 88011-6839
(575) 382-2149
Mailing address
3485 NORTHRISE DR STE 2, LAS CRUCES, NM 88011-6839
(575) 382-2149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56472
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
01/14/2026
Last updated
03/27/2026
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