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Contact Information

AQUARIUS MEDICAL & WELLNESS CLINIC, LLC
6 CALLE MEDICO STE 4
SANTA FE, NM87505-4761
 Phone: 813-484-2335
 Fax: 505-395-9251
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for AQUARIUS MEDICAL WELLNESS CLINIC LLC · (Female)

NPI Number 1689472904
Status Active
Credentials
Entity Individual
Enumeration date 03/04/2025
Last updated 07/21/2025 - About 11 months 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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