Provider Demographics
NPI:1619457363
Name:ARMIJO, SONIA EUFROSINA (CNP)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:EUFROSINA
Last Name:ARMIJO
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4140 LAS BRISAS
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-0865
Mailing Address - Country:US
Mailing Address - Phone:505-795-4436
Mailing Address - Fax:
Practice Address - Street 1:06B MAIN ST.
Practice Address - Street 2:
Practice Address - City:CERRILLOS
Practice Address - State:NM
Practice Address - Zip Code:87010
Practice Address - Country:US
Practice Address - Phone:505-471-6266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM53823363L00000X, 363LF0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program