Organization
GRASSHOPPER NATURAL MEDICINE
Active
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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