| Nancy A Lara, CNP | |
|
2450 S Telshor Blvd, Las Cruces, NM 88011-5141 | |
| (575) 556-5890 | |
| Not Available |
| Full Name | Nancy A Lara |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 2450 S Telshor Blvd, Las Cruces, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689147134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 54914 (New Mexico) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 54914 (New Mexico) | Primary |
| Entity Name | Southwest Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
| Entity Name | Hospital Care Consultants Region Ii Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558491449 PECOS PAC ID: 8820197064 Enrollment ID: O20070815000271 |
| Entity Name | Sierra Vista Hospital 69 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20090218000155 |
| Entity Name | Sierra Vista Hospital 69 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20090227000341 |
| Entity Name | Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20120718000719 |
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20151019001400 |
| Entity Name | Northwest Hospital Medicine Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972056752 PECOS PAC ID: 6406805449 Enrollment ID: O20170120001785 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210512001500 |
| Entity Name | Nes Arizona Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285163121 PECOS PAC ID: 2163737206 Enrollment ID: O20230803001059 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy A Lara, CNP 4072 Demos Ave, Las Cruces, NM 88011-4209 Ph: (973) 807-6446 | Nancy A Lara, CNP 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 Ph: (575) 556-5890 |