INTEGRATIVE & PERSONALIZED HORMONE THERAPY LLC NPI 1346784287

NPI Information

  • NPI: 1346784287
  • Provider Name: INTEGRATIVE & PERSONALIZED HORMONE THERAPY, LLC
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Organization
  • CLIA Number: 32D2283144
  • Address: 5290 MCNUTT RD STE 105
    SANTA TERESA, NM
    ZIP 88008
  • Phone: (575) 502-3303

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NPI Details

INTEGRATIVE & PERSONALIZED HORMONE THERAPY, LLC is a women's health nurse practitioner in Santa Teresa, NM. INTEGRATIVE & PERSONALIZED HORMONE THERAPY, LLC NPI is 1346784287. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5290 MCNUTT RD STE 105
SANTA TERESA, NM
ZIP 88008-648
Phone: (575) 502-3303
Fax: (575) 205-0254

The provider's authorized official is Christina Blanco .
The authorized official title is Owner and has the following contact phone number (915) 217-9300.

The CLIA number assigned to this NPI record is 32D2283144 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2016 and was last updated on 11/20/2025.

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
1363LW0102XNurse PractitionerWomen's HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CNP-02155OTHERNEW MEXICOMEDICAL LICENSE

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: 11/21/2025

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