DEZTINE DE LA ROSA (NPI# 1912561754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912561754 |
| Entity Type | Individual |
| Full Name | DEZTINE DE LA ROSA |
| Credential | NP |
| Practice Address |
1170 N Solano Dr Ste A Las Cruces NM 88001-2371 |
| Practice Telephone | 5755285023 |
| Mailing Telephone | 5755285023 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
54577 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1170 N SOLANO DR STE A |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-2371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295879443 | Minerva Ann Claus | Nurse Practitioner | 1170 N Solano Dr Ste A, Las Cruces, NM 88001-2371 | 2007-02-19 |
| 1932236445 | Carol Ruth Smith | Nurse Practitioner | 1170 N Solano Dr Ste A, Las Cruces, NM 88001-2371 | 2007-02-28 |
| 1598809717 | Mary Kerwin | Nurse Practitioner | 1170 N Solano Dr Ste A, Las Cruces, NM 88001-2371 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531100 | Anneliese K. Glasgow | Nurse Practitioner | 2515 Tiffany Dr, Las Cruces, NM 88011-0880 | 2020-09-07 |
| 1285272831 | Shannon Vane | Nurse Practitioner | 190 Howard Pl Ste A, Las Cruces, NM 88011-8155 | 2019-12-13 |
| 1992351647 | Rito Nelson Jasmin Daan | Nurse Practitioner | 2502 Velarde Pl, Las Cruces, NM 88011-4313 | 2019-08-16 |
| 1447806047 | Sabrina Nicole Bazan | Nurse Practitioner | 345 N San Pedro St, Las Cruces, NM 88001-3462 | 2019-08-11 |
| 1245798586 | Bernardo Black | Nurse Practitioner | 748 Suzanne Ave, Las Cruces, NM 88005-1298 | 2019-03-05 |
| 1538638267 | Christina Lucero | Nurse Practitioner | 584 Cedardale Loop, Las Cruces, NM 88005-0932 | 2018-11-26 |
| 1174091144 | Thomas Hayth | Nurse Practitioner | 3485 Northrise Dr Ste 1, Las Cruces, NM 88011-6839 | 2018-11-08 |
| 1033611793 | Elsie Creason | Nurse Practitioner | 520 Old Farm Rd, Las Cruces, NM 88005-3862 | 2018-03-08 |
| 1639677289 | Melissa J Cometti | Nurse Practitioner | 2735 Northrise Dr Ste B, Las Cruces, NM 88011-0897 | 2018-01-29 |
| 1063929248 | Melissa Michelle Livingston | Nurse Practitioner | 2100 S Triviz Dr Ste F, Las Cruces, NM 88001-0601 | 2018-01-09 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
Please comment or provide details below to improve the information on DEZTINE DE LA ROSA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.