IndividualActive
Cody Casper
NPI 1710790753 · Community Health Worker · Santa Teresa, NM
Provider details
- NPI number
- 1710790753
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
5312 Rio Bravo Dr Ste 10
Santa Teresa, NM 88008-9210
Phone: (575) 915-1338
Fax: (575) 915-1819
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2523
Sunland Park, NM 88063-2523
Registry dates
- Enumerated
- 2025-01-31
- Last updated
- 2025-01-31
- Certified
- 2025-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.