COMMON GROUND COMMUNITY CARE
NPI 1124752738
Nurse Practitioner - Women's Health in Los Ranchos, NM
Active since July 11, 2022
About Common Ground Community Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMON GROUND COMMUNITY CARE (NPI 1124752738) is a healthcare organization registered as a women's health in Los Ranchos, New Mexico and active in the NPI registry since July 2022. The organization lists Jennifer Ann Robinson, Owner/provider, as its authorized official.
NPPES Registry Identity
NPI1124752738
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameCOMMON GROUND COMMUNITY CARE
Location Address332 LOS RANCHOS RD NWLos Ranchos, NM 87107-6531
Mailing Address332 Los Ranchos Rd NwLos Ranchos, NM 87107-6531 · (952) 913-6422
Phone(952) 913-6422
Organization SubpartNo
Authorized OfficialJennifer Ann RobinsonOwner/provider · (952) 913-6422
Enumeration DateJuly 11, 2022
NPPES CertifiedJuly 11, 2022
✔ NPI 1124752738 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
332 LOS RANCHOS RD NW, Los Ranchos, NM 87107
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124752738, enumerated as an "organization" on July 11, 2022.
The provider is located at 332 LOS RANCHOS RD NW LOS RANCHOS, NM 87107 and the phone number is (952) 913-6422.
Nurse Practitioner with taxonomy code 363LW0102X and a focus in Women's Health.
