IndividualActive
Cecilia Pinon Provencio
NPI 1083507396 · Community Health Worker · Anthony, NM
Provider details
- NPI number
- 1083507396
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sole proprietor
- Yes
- License
- G-1598 (NM)
Specialties & taxonomies
Other Service Providers
Practice location
2070 W Ohara Rd
Anthony, NM 88021-8844
Phone: (915) 873-1781
Approximate (ZIP-level) locationGet directions
Mailing address
2070 W Ohara Rd
Anthony, NM 88021-8844
Registry dates
- Enumerated
- 2025-06-03
- Last updated
- 2025-06-03
- Certified
- 2025-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.