Organization
PHYSICALS IN MOTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA DANETTE BILLSTONE-SIMPSON FNP-C (CEO)
(575) 915-4230
Entity
Organization
Contact information
Practice address
5275 SINGER RD, LAS CRUCES, NM 88007-5566
(575) 915-4230
Mailing address
5275 SINGER RD, LAS CRUCES, NM 88007-5566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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