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Organization

NEXUS HEALTH PRIMARY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COURTNEY BLANKS (BUSINESS MANAGER)
(505) 469-5569
Entity
Organization

Contact information

Practice address
2085 S PACHECO ST, SANTA FE, NM 87505-6103
(505) 395-3000
Mailing address
2085 S PACHECO ST, SANTA FE, NM 87505-6103
(505) 395-3000
(505) 983-7571

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
208D00000X
General Practice Physician
2251G0304X
Geriatric Physical Therapist
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
10/11/2007
Last updated
02/23/2026
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