IndividualActive
Beatric Balsamo, PA
NPI 1871638403 · Medical Physician Assistant · Taos, NM
Provider details
- NPI number
- 1871638403
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 83PA001 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1399 Weimer Rd Ste 200
Ndcbu Box 5775
Taos, NM 87571-6349
Phone: (505) 758-2224
Fax: (505) 758-4903
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 933
Ranchos De Taos, NM 87557-0933
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.