Individual
NEVAEH PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
105 BERTHA RD STE B, TAOS, NM 87571-7148
(575) 758-4297
Mailing address
403 MACEA RD, TAOS, NM 87571-5130
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
04/29/2026
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