ACACIA FAMILY CARE LLC NPI 1326612300

NPI Information

NPI: 1326612300
Provider Name: ACACIA FAMILY CARE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 32D2236882

Address:
1717 W 2ND ST STE 101
ROSWELL, NM
ZIP 88201
Phone: (575) 205-0754
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ACACIA FAMILY CARE LLC is a family nurse practitioner in Roswell, NM. ACACIA FAMILY CARE LLC NPI is 1326612300. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1717 W 2ND ST STE 101
ROSWELL, NM
ZIP 88201-027
Phone: (575) 205-0754
Fax: (575) 205-0758

The provider's authorized official is Kristy Bell .
The authorized official title is Owner and has the following contact phone number (575) 205-0754.

The CLIA number assigned to this NPI record is 32D2236882 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2021 and was last updated on 3/8/2022.

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	363LF0000X	Nurse Practitioner	Family			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: 11/14/2023

NPI Synchronization or Removal

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