Sabrina Avila

Individual provider Active NPI Community Health Worker · Clovis, NM

NPI 1073164687 · NPPES record last updated Jan 15, 2025

Key facts

NPI
1073164687
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
1100 W 21St St
Clovis, NM 88101-4151
Phone
(575) 769-2345
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

1100 W 21St St
Clovis, NM 88101-4151

Mailing address

1100 W 21St St
Clovis, NM 88101-4151
Phone (575) 769-2345

Other providers in Clovis, NM

All providers in Clovis, NM · Community Health Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.