Individual
SARA GUIDETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2525 S TELSHOR BLVD STE 15-200, LAS CRUCES, NM 88011-5071
(505) 265-9511
Mailing address
3080 BRELAND DRIVE, LAS CRUCES, NM 88001
(575) 646-1512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
54428
NM
363LF0000X
Family Nurse Practitioner
Primary
54428
NM
363LF0000X
Family Nurse Practitioner
AP129419
TX
363LF0000X
Family Nurse Practitioner
C-APN.0100463-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18257301
—
TX
05
—
67409326
—
NM
Enumeration date
10/20/2015
Last updated
06/14/2023
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