Samantha Angelica Aguirre

Individual provider Active NPI Community Health Worker · Deming, NM

NPI 1952831398 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1952831398
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
400 S Nickel St
Deming, NM 88030-4539
Phone
(575) 936-0138
NPI assigned
Jun 18, 2017
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
Behavior Technician 106S00000X
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

400 S Nickel St
Deming, NM 88030-4539

Mailing address

400 S Nickel St
Deming, NM 88030-4539
Phone (575) 936-0138

Other practice location 1

3011 Slice Rd SE
Deming, NM 88030-7335
Phone (575) 936-0138

Other providers in Deming, NM

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

Sources for this page

Verify at the official NPI Registry.