Organization
INTEGRATED HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTENE VANCOTT FNP (OWNER)
(915) 532-2962
Entity
Organization
Contact information
Practice address
9745 HARDROCK RD, LAS CRUCES, NM 88011-9338
(575) 312-1260
Mailing address
9745 HARDROCK RD, LAS CRUCES, NM 88011-9338
(575) 312-1260
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0371127
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0371127
FNP
NM
Enumeration date
05/07/2014
Last updated
05/07/2014
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