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AGELESS MEDICAL SPA - CLINIC
NPI 1518392380
Nurse Practitioner - Family in Las Cruces, NM

Active since September 11, 2013
3961 E LOHMAN AVE, SUITE 12, LAS CRUCES, NM 88011(575) 521-4888(575) 521-4888 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ageless Medical Spa - Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGELESS MEDICAL SPA - CLINIC (NPI 1518392380) is a healthcare organization registered as a family in Las Cruces, New Mexico and active in the NPI registry since September 2013. The organization lists Marila Taylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1518392380
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAGELESS MEDICAL SPA - CLINIC
Location Address3961 E LOHMAN AVE, SUITE 12Las Cruces, NM 88011-8269
Mailing Address3961 E Lohman Ave, Suite 12Las Cruces, NM 88011-8269 · (575) 521-4888 · Fax (575) 521-4888
Phone(575) 521-4888
Fax(575) 521-4888
Organization SubpartNo
Authorized OfficialMarila TaylorOwner · (915) 929-6369
Enumeration DateSeptember 11, 2013
Last NPPES UpdateSeptember 19, 2013
✔ NPI 1518392380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · CNP02129
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License CNP02155 (NM)
3961 E LOHMAN AVE, Las Cruces, NM 88011
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COVENANT CLINICS, LLC
Clinic/Center (Urgent Care)
3961 E LOHMAN AVE
LAS CRUCES, NM 88011
Doña Ana County (505) 556-0200
MRS. JANA LEA HORVATH LMT
Massage Therapist
3961 E LOHMAN AVE
LAS CRUCES, NM 88011
Doña Ana County (575) 525-9960
ROXANA J VALENZUELA LMT
Mechanotherapist
3961 E LOHMAN AVE
LAS CRUCES, NM 88011
Doña Ana County (575) 525-9960
MR. DAN MITCHELL LMT
Massage Therapist
3961 E LOHMAN AVE
LAS CRUCES, NM 88011
Doña Ana County (575) 525-9960
DR. WENDI CHEREE WALLIN DC
Chiropractor
3961 E LOHMAN AVE, STE 22
LAS CRUCES, NM 88011
Doña Ana County (575) 652-3358
DR. ROBERT L. PATTERSON D.O.
General Practice
3961 E LOHMAN AVE
LAS CRUCES, NM 88011
Doña Ana County (505) 556-0200
DR. KRISTY L SCULLION-MCPHERSON PHD
Psychologist
3961 E LOHMAN AVE, STE 34
LAS CRUCES, NM 88011
Doña Ana County (505) 642-7200
MR. MIGUEL ANGEL AVALOS A.B.O.C.
Technician/Technologist (Optician)
3961 E LOHMAN AVE, SUITE 11
LAS CRUCES, NM 88011
Doña Ana County (575) 522-6868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ageless Medical Spa - Clinic's NPI number?

The NPI number for Ageless Medical Spa - Clinic is 1518392380. It was assigned to this organization in the NPPES registry on September 11, 2013.

Where is Ageless Medical Spa - Clinic located?

Ageless Medical Spa - Clinic is located at 3961 E Lohman Ave Suite 12, Las Cruces, NM 88011. The listed phone number is (575) 521-4888.

What is Ageless Medical Spa - Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ageless Medical Spa - Clinic was last updated on September 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.