IndividualActive
Guadalupe Mata, CNP
NPI 1700608775 · Family Nurse Practitioner · Santa Rosa, NM
Provider details
- NPI number
- 1700608775
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- License
- CNP-81461 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
117 Camino De Vida Ste 300
Santa Rosa, NM 88435-2267
Phone: (575) 472-4311
Fax: (877) 651-0289
Approximate (ZIP-level) locationGet directions
Mailing address
117 Camino De Vida Ste 300
Santa Rosa, NM 88435-2267
Additional practice locations (4)
- 2515 Ridge Runner RdLas Vegas, NM 87701-4972Phone: (505) 434-0119Fax: (877) 553-1272
- 1024 S Pacific StreetLas Vegas, NM 87701Phone: (505) 426-2599Fax: (877) 553-1272
- 166 Hospital DrRaton, NM 87740-2002Phone: (575) 445-3626Fax: (877) 592-0809
- 220 S 3rd StTucumcari, NM 88401-2802Phone: (575) 461-8631Fax: (888) 708-0683
Registry dates
- Enumerated
- 2024-10-30
- Last updated
- 2024-10-30
- Certified
- 2024-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.