OrganizationActive
Integrative & Personalized Hormone Therapy, LLC
NPI 1346784287 · Women's Health Nurse Practitioner · Santa Teresa, NM
Provider details
- NPI number
- 1346784287
- Entity type
- Organization
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Christina Blanco, Owner(915) 217-9300
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5290 Mcnutt Rd Ste 105
Santa Teresa, NM 88008-9648
Phone: (575) 502-3303
Fax: (575) 205-0254
Approximate (ZIP-level) locationGet directions
Mailing address
5290 Mcnutt Rd Ste 105
Santa Teresa, NM 88008-9648
Registry dates
- Enumerated
- 2016-12-12
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.