Organization
GRASSHOPPER NATURAL MEDICINE
Active
Other names
Mountain Spirit Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN VIVIAN (PRACTICE MANAGER)
(505) 988-2449
Entity
Organization
Contact information
Practice address
303 PASEO DE PERALTA, SANTA FE, NM 87501-1860
(505) 988-2449
(505) 986-6005
Mailing address
PO BOX 6628, ALBUQUERQUE, NM 87197
(505) 501-2701
(505) 986-6005
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM00RK09
BCBS
NM
Enumeration date
12/11/2007
Last updated
03/17/2018
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