Provider Demographics
NPI:1659641777
Name:DIABETES SOLUTIONS
Entity Type:Organization
Organization Name:DIABETES SOLUTIONS
Other - Org Name:CARLENE H. HURST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIABETES EDUCATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLENE
Authorized Official - Middle Name:H
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CDE
Authorized Official - Phone:575-636-5365
Mailing Address - Street 1:1100 S MAIN ST
Mailing Address - Street 2:STE. 2
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-2917
Mailing Address - Country:US
Mailing Address - Phone:575-636-5365
Mailing Address - Fax:575-524-1454
Practice Address - Street 1:1100 S MAIN ST
Practice Address - Street 2:STE. 2
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-2917
Practice Address - Country:US
Practice Address - Phone:575-636-5365
Practice Address - Fax:575-524-1454
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARLENE H. HURST DBA DIABETES SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty