Organization
CARRASCO WELLNESS AND DIABETES CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINA C CARRASCO RN CDCES (OWNER)
(303) 514-4576
Entity
Organization
Contact information
Practice address
1838 SIRINGO RD, SANTA FE, NM 87505-5773
(303) 514-4576
Mailing address
1838 SIRINGO RD, SANTA FE, NM 87505-5773
(303) 514-4576
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
163WG0000X
General Practice Registered Nurse
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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