Michelle Gallegos

Individual provider Active NPI Community Health Worker · Los Ranchos, NM

NPI 1992494207 · NPPES record last updated May 3, 2023

Key facts

NPI
1992494207
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
6666 4TH St NW Ste D
Los Ranchos, NM 87107-6144
Phone
(505) 463-0472
NPI assigned
May 3, 2023
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

6666 4TH St NW Ste D
Los Ranchos, NM 87107-6144

Mailing address

6666 4TH St NW Ste D
Los Ranchos, NM 87107-6144

Other providers in Los Ranchos, NM

All providers in Los Ranchos, NM · Community Health Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.