DESERT FUNCTIONAL MEDICINE & AESTHETICS LLC NPI 1528613924

NPI Information

  • NPI: 1528613924
  • Provider Name: DESERT FUNCTIONAL MEDICINE & AESTHETICS, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 32D2179804
  • Address: 3900 N LOVINGTON HWY STE 550
    HOBBS, NM
    ZIP 88240
  • Phone: (575) 964-8025

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NPI Details

DESERT FUNCTIONAL MEDICINE & AESTHETICS, LLC is a family nurse practitioner in Hobbs, NM. DESERT FUNCTIONAL MEDICINE & AESTHETICS, LLC NPI is 1528613924. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3900 N LOVINGTON HWY STE 550
HOBBS, NM
ZIP 88240-171
Phone: (575) 964-8025
Fax: (575) 291-3009

The provider's authorized official is Kelly V Pfeiffer .
The authorized official title is Owner and has the following contact phone number (575) 964-8025.

The CLIA number assigned to this NPI record is 32D2179804 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2019 and was last updated on 8/3/2019.

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
1363LF0000XNurse PractitionerFamilyYes

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: 3/30/2025

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