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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AGELESS MEDICAL SPA - CLINIC

Active Organization

AGELESS MEDICAL SPA - CLINIC is a Family Nurse Practitioner organization located in LAS CRUCES, New Mexico. NPI 1518392380 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · LAS CRUCES, NM

Registration Details

NPI Number
1518392380
Provider Type
Organization
NPI Issued
Sep 11, 2013 (12.948064035743 yrs)
Last Updated
Sep 19, 2013
Licenses
CNP02155 (NM)
CNP02129 (NM)

Practice Information

Address
3961 E LOHMAN AVE
SUITE 12
LAS CRUCES, NM, 880118269
Browse NM providers · Browse ZIP 88011
Phone
5755214888
Fax
5755214888
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Organizations in LAS CRUCES, NM

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.