NPI 1174635791 · live from the CMS NPI Registry
Sandra Addari
Family Medicine in Las Cruces, NM. National Provider Identifier 1174635791, active.
NPI record
| NPI | 1174635791 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2465 S Telshor Blvd, Las Cruces, NM 88011 |
| Practice phone | 505-532-6061 |
| Mailing address | 3100 Schofield Rd, Bldg 1179, Fort Sam Houston, TX 78234 |
| Enumerated | August 31, 2006 |
| Last updated | September 16, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | MD2006-0554 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.