AZURITE SERVICES PC NPI 1932650041

NPI Information

NPI: 1932650041
Provider Name: AZURITE SERVICES PC
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 32D2299121

Address:
613 W 2ND ST STE 1
ROSWELL, NM
ZIP 88201
Phone: (575) 755-5555
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AZURITE SERVICES PC is a psychiatric/mental health clinical nurse specialist in Roswell, NM. AZURITE SERVICES PC NPI is 1932650041. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

613 W 2ND ST STE 1
ROSWELL, NM
ZIP 88201-671
Phone: (575) 755-5555
Fax: (575) 755-5556

The provider's authorized official is Melissa Bethany .
The authorized official title is Owner and has the following contact phone number (575) 317-7934.

The CLIA number assigned to this NPI record is 32D2299121 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2016 and was last updated on 7/5/2022.

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	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	CNP02864	NEW MEXICO	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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