Organization
NEW MEXICO PREMIER HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CHRISTINE RENFRO (CNP CFO/CMO)
(817) 897-5310
Entity
Organization
Contact information
Practice address
235 MAIN ST SE, LOS LUNAS, NM 87031-7316
(505) 388-2223
Mailing address
235 MAIN ST SE, LOS LUNAS, NM 87031-7316
(505) 388-2223
(505) 404-0113
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
06/25/2025
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