Organization
SANTA FE MEDICAL ARTS & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE SISNEROS CFNP (OWNER)
(505) 954-0002
Entity
Organization
Contact information
Practice address
1651 GALISTEO ST, SUITE6, SANTA FE, NM 87505-4752
(505) 954-0002
(505) 954-0008
Mailing address
1651 GALISTEO ST, SUITE6, SANTA FE, NM 87505-4752
(505) 954-0002
(505) 954-0008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RI9344
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35634006
—
NM
Enumeration date
03/06/2007
Last updated
08/22/2020
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