OrganizationActive
Active Medical Group LLC
NPI 1992408520 · Family Nurse Practitioner · Farmington, NM
Provider details
- NPI number
- 1992408520
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Ashley Smith, Nurse Practitioner
Practice location
4801 N Butler Ave Ste 8102
Farmington, NM 87401-0818
Phone: (505) 370-1201
Fax: (505) 461-1779
Mailing address
4801 N Butler Ave Ste 8102
Farmington, NM 87401-0818
Registry dates
- Enumerated
- 2023-03-23
- Last updated
- 2025-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.