Provider Demographics
NPI:1295603991
Name:HAMLEN, HEIDI (DVM)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:HAMLEN
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 VALENCIA LOOP
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87508-8888
Mailing Address - Country:US
Mailing Address - Phone:505-629-7701
Mailing Address - Fax:505-466-1606
Practice Address - Street 1:5 VALENCIA LOOP
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87508-8888
Practice Address - Country:US
Practice Address - Phone:505-629-7701
Practice Address - Fax:505-466-1606
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-25
Last Update Date:2025-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1196174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Single Specialty