NPI 1376464594
New Mexico Wic Program
Practice location
- Address
- 2040 S Pacheco St, Santa Fe, NM 87505-5472
- Phone
- (505) 476-8800
- Fax
- (505) 476-8900
Authorised official
- Name
- Michelle D Cisneros
- Title
- Medicaid Managed Care Contracts
- Phone
- (505) 623-1256
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1376464594
- Entity type
- Organization
- NPI issued
- 23 Jul 2026
- Record last updated
- 30 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.