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FULL BLOOM PEDIATRICS LLC NPI 1982997425


NPI Information

NPI: 1982997425
Provider Name: FULL BLOOM PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 32D2012775

Address:
4181 CAMINO COYOTE
LAS CRUCES, NM
ZIP 88011
Phone: (575) 532-6006
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FULL BLOOM PEDIATRICS, LLC is a pediatrics in Las Cruces, NM. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. FULL BLOOM PEDIATRICS, LLC NPI is 1982997425. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4181 CAMINO COYOTE
LAS CRUCES, NM
ZIP 88011-096
Phone: (575) 532-6006
Fax: (575) 532-9049

The provider's authorized official is Cynthia R Settles .
The authorized official title is Owner and has the following contact phone number (575) 532-6006.

The CLIA number assigned to this NPI record is 32D2012775 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2011 and was last updated on 5/17/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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

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