Mary Ellen Archuleta
Individual provider Active NPI Case Manager/Care Coordinator · Taos, NM
NPI 1588167589 · NPPES record last updated Mar 15, 2018
Key facts
- NPI
- 1588167589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 105 Paseo del Canon W Ste a
Taos, NM 87571-6943 - Phone
- (575) 758-5857
- Fax
- (575) 758-5860
- NPI assigned
- Mar 15, 2018
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NM | Yes |
Addresses
Primary practice location
105 Paseo del Canon W Ste a
Taos, NM 87571-6943
Mailing address
PO Box 94508
Albuquerque, NM 87199-4508
Phone (505) 384-7352
Other providers in Taos, NM
- Mayra Aragon
- Monique Arancibia
- Amaya-Lee M Archuleta
- Joanna Archuleta
- Lori-Lee Archuleta
- Sara Arellano
- Trinidad De Jesus Arguello
- Bruce Armstrong
- Sherry Arnowitz
- Teresa L Aronovitz
All providers in Taos, NM · Case Manager/Care Coordinator 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 Mar 15, 2018. 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.