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

MR. WESLEY ERIC ETHERIDGE SR.

Active

MR. WESLEY ERIC ETHERIDGE SR. is a Community Health Worker healthcare provider located in LAS CRUCES, New Mexico. NPI 1578149142 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · LAS CRUCES, NM

Registration Details

NPI Number
1578149142
Provider Type
Individual
Gender
Male
NPI Issued
Mar 23, 2021 (5.3941907487195 yrs)
Last Updated
Mar 23, 2021

Practice Information

Address
999 W AMADOR AVE STE D
LAS CRUCES, NM, 880052739
Browse NM providers · Browse ZIP 88005
Phone
5755569681
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in LAS CRUCES, NM

Name Credential NPI
MRS. KAREN M. ERDIE M.S. 1376657445
MIRIAM GUTIERREZ B.S. 1558695908
MRS. SYLVIA CHAVEZ BSW 1770807513
MR. JOHN E GARAY 1942526728
EDITH S. MONTOYA 1306264031
MR. JARED WILLIAM FRIETZE 1093125643
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.