Organization
MESILLA VALLEY HEALTHCARE ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELINA P CARVER CNP (CNP/OWNER)
(505) 523-4880
Entity
Organization
Contact information
Practice address
2020 S. SOLANO DR., SUITE C, LAS CRUCES, NM 88001-5416
(505) 523-4880
(505) 523-1796
Mailing address
2020 S. SOLANO DR., SUITE C, LAS CRUCES, NM 88001-5416
(505) 523-4880
(505) 523-1796
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R19996
NM
363LF0000X
Family Nurse Practitioner
Primary
RII668
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10004431
ALL LOVELACE
—
05
—
95966
—
NM
01
—
NM006312
BCBS
NM
01
—
PROVP11869
MOLINA
—
Enumeration date
05/17/2006
Last updated
08/22/2020
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