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Contact Information

SOUTHERN NEW MEXICO DIABETES OUTREACH
506 S MAIN ST STE 700
LAS CRUCES, NM88001-1237
 Phone: 575-522-0289
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
 

Community Health Worker

172V00000X
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for SOUTHERN NEW MEXICO DIABETES OUTREACH · (Female)

NPI Number 1063304921
Status Active
Credentials
Entity Individual
Enumeration date 07/16/2025
Last updated 04/30/2026 - About a month ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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