Candralee Balizan
Individual provider Active NPI Community Health Worker · Springer, NM
NPI 1396328290 · NPPES record last updated Sep 13, 2021
Key facts
- NPI
- 1396328290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 802 3Rd Street
Springer, NM 87747 - Phone
- (505) 398-1567
- Fax
- (575) 383-3337
- NPI assigned
- Apr 29, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancer Health Group, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
802 3Rd Street
Springer, NM 87747
Mailing address
PO Box 446
Springer, NM 87747-0446
Phone (505) 398-1567
Other providers in Springer, NM
- Debra Ann Arellano
- Heather Atler
- Briana Baca
- Bestcare Pharmacy Springer LLC
- Samuel Blea
- Melissa Brown
- Gayle Ann Bustos
- Francesca Chavez
All providers in Springer, NM · Community Health Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.