Family Practice Medical And Dietetic Medical Therapy in Las Cruces, NM

Family Practice Medical And Dietetic Medical Therapy is a Nurse Practitioner - Primary Care based in Las Cruces, New Mexico. Family Practice Medical And Dietetic Medical Therapy is licensed to practice in New Mexico (license number CNP00942) and their current practice location is 2904 Hillrise Dr, Las Cruces, New Mexico. It can be reached at their office (for appointments etc.) via phone at (575) 532-5386.

NPI number for Family Practice Medical And Dietetic Medical Therapy is 1609199447 and their current mailing address is 2904 Hillrise Dr, Las Cruces, New Mexico. Family Practice Medical And Dietetic Medical Therapy does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1609199447.

Contact Information

	Family Practice Medical And Dietetic Medical Therapy
	2904 Hillrise Dr, Las Cruces, NM 88011-4702
	(575) 532-5386
	(575) 532-5449

Map and Direction

Healthcare Provider's Profile

Full Name	Family Practice Medical And Dietetic Medical Therapy
Type	Facility
Speciality	Nurse Practitioner - Primary Care
Location	2904 Hillrise Dr, Las Cruces, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1609199447
Provider Enumeration Date: 03/08/2010
Last Update Date: 03/29/2013

Medical Identifiers

Medical identifiers for Family Practice Medical And Dietetic Medical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609199447	NPI	-	NPPES
1609199447	Other	NM	BCBS
58878335	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DT06119 (Texas)	Secondary
133V00000X	Dietitian, Registered	LD0748 (New Mexico)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	CNP00942 (New Mexico)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Family Practice Medical And Dietetic Medical Therapy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Family Practice Medical And Dietetic Medical Therapy 2904 Hillrise Dr, Las Cruces, NM 88011-4702 Ph: (575) 532-5386	Family Practice Medical And Dietetic Medical Therapy 2904 Hillrise Dr, Las Cruces, NM 88011-4702 Ph: (575) 532-5386

Family Practice Medical And Dietetic Medical Therapy - in Las Cruces, NM