Provider Demographics
NPI:1003676362
Name:GAUFIN, RHAEMI E (DNP)
Entity Type:Individual
Prefix:DR
First Name:RHAEMI
Middle Name:E
Last Name:GAUFIN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3922 AGUA DE VIDA DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-7962
Mailing Address - Country:US
Mailing Address - Phone:575-308-6284
Mailing Address - Fax:
Practice Address - Street 1:3961 E LOHMAN AVE STE 33
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8440
Practice Address - Country:US
Practice Address - Phone:575-556-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM53100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily