PURE LIFE NM INC NPI 1275139958

NPI Information

NPI: 1275139958
Provider Name: PURE LIFE NM INC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

CLIA Number: 32D2206308

Address:
9 CALLE MEDICO
SANTA FE, NM
ZIP 87505
Phone: (505) 467-8372
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PURE LIFE NM INC is a medical physician assistant in Santa Fe, NM. PURE LIFE NM INC NPI is 1275139958. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9 CALLE MEDICO
SANTA FE, NM
ZIP 87505-724
Phone: (505) 467-8372
Fax: (505) 780-8285

The provider's authorized official is Loretta Torres .
The authorized official title is Pa/ceo and has the following contact phone number (505) 467-8372.

The CLIA number assigned to this NPI record is 32D2206308 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2020 and was last updated on 12/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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