Gerry Allen

Individual provider Active NPI Case Manager/Care Coordinator · Las Cruces, NM

NPI 1154740678 · NPPES record last updated Apr 11, 2014

Key facts

NPI
1154740678
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1320 S. Solano
Las Cruces, NM 88001
Phone
(575) 571-4710
NPI assigned
Apr 11, 2014
Sex
Male
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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1320 S. Solano
Las Cruces, NM 88001

Mailing address

1320 S. Solano
Las Cruces, NM 88001
Phone (575) 571-4710

Other providers in Las Cruces, NM

All providers in Las Cruces, NM · Case Manager/Care Coordinator in New Mexico

Sources for this page

Verify at the official NPI Registry.