Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
XIMENA LICANO
Active Sole ProprietorXIMENA LICANO is a Doula healthcare provider located in PORTALES, New Mexico. NPI 1518794320 is currently active in the NPPES registry. Verify at CMS.
Doula · PORTALES, NM
Registration Details
- NPI Number
- 1518794320
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2024 (1.9200067892237 yrs)
- Last Updated
- Feb 4, 2026
- License
-
86379 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2201 SAINT FRANCIS CTPORTALES, NM, 881309381Browse NM providers · Browse ZIP 88130
- Phone
- 5756522743
- Primary Specialty
-
Doula
374J00000X
- Additional Specialty
- Lactation Consultant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.