Sonda Sue Boulware (NPI# 1841596608, PAC ID# 3971771049) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1841596608 |
| PAC ID by PECOS | 3971771049 |
| Professional Enrollment ID | I20110714000757 |
| Full Name | Sonda Sue Boulware |
| Organization Legal Name | SOUTHWEST HEART PC |
| Address |
2525 S Telshor Blvd Bldg 14 Suite 102 Las Cruces NM 88011-9148 |
| Phone Number | 5055227247 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2163458043 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320085 | MOUNTAIN VIEW REGIONAL MEDICAL CENTER |
| 320004 | GERALD CHAMPION REGIONAL MEDICAL CENTER |
| 320018 | MEMORIAL MEDICAL CENTER |
| 321300 | SIERRA VISTA HOSPITAL |
| 321309 | MIMBRES MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 5054396100 | OTERO COUNTY HOSPITAL ASSOCIATION |
| 2525 S Telshor Blvd Bldg 14, Suite 102, Las Cruces, NM 88011-9148 | 5055227247 | SOUTHWEST HEART PC |
| Organization Legal Name | SOUTHWEST HEART PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Marie Ruiz | Nurse Practitioner | Southwest Heart PC | 2525 S Telshor Blvd Bldg 14, Suite 102, Las Cruces, NM 88011-9148 |
| Carolina De Lourdes Ponce Orellana | Cardiovascular Disease (cardiology) | Southwest Heart PC | 2525 S Telshor Blvd Bldg 14, Suite 102, Las Cruces, NM 88011-9148 |
| Roberto Navarrette Jr. | Nurse Practitioner | Southwest Heart PC | 2525 S Telshor Blvd Bldg 14, Suite 102, Las Cruces, NM 88011-9148 |
| Terry A Boulware | Cardiovascular Disease (cardiology) | Southwest Heart PC | 2525 S Telshor Blvd Bldg 14, Suite 102, Las Cruces, NM 88011-9148 |
| Street Address |
2525 S TELSHOR BLVD BLDG 14 SUITE 102 |
| City | LAS CRUCES |
| State | NM |
| Zip | 88011-9148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Marie Ruiz | Nurse Practitioner | Southwest Heart PC | 2525 S Telshor Blvd Bldg 14, Suite 102, Las Cruces, NM 88011-9148 |
| Carolina De Lourdes Ponce Orellana | Cardiovascular Disease (cardiology) | Southwest Heart PC | 2525 S Telshor Blvd Bldg 14, Suite 102, Las Cruces, NM 88011-9148 |
| Roberto Navarrette Jr. | Nurse Practitioner | Southwest Heart PC | 2525 S Telshor Blvd Bldg 14, Suite 102, Las Cruces, NM 88011-9148 |
| Terry A Boulware | Cardiovascular Disease (cardiology) | Southwest Heart PC | 2525 S Telshor Blvd Bldg 14, Suite 102, Las Cruces, NM 88011-9148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francis K Attiogbe | Internal Medicine | Fesss Family Healthcare LLC | 3039 Memorial Court, Las Cruces, NM 88011 |
| Elaine Enyonam Attiogbe | Nurse Practitioner | Fesss Family Healthcare LLC | 3039 Memorial Court, Las Cruces, NM 88011 |
| Kanaka L Chelliah | Family Medicine | 4500 Sonoma Ranch Blvd, Las Cruces, NM 88011-0000 | |
| Troy W Shepherd | Podiatry | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| John V Watkins | Anesthesiology | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| Douglas R Dodson | Orthopedic Surgery | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| Ramakrishna Devasthali | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
| Andrew Bruner | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
| Melissa J Cometti | Nurse Practitioner | Phc-las Cruces Inc | 2735 Northrise Dr, Las Cruces, NM 88011-0897 |
| Carrie Alissa Dieker | General Surgery | Las Cruces Physician Practices, LLC | 2735 Northrise Dr, Las Cruces, NM 88011-0897 |
| Find all physicians in zip 88011 | |||
| City | LAS CRUCES |
| Zip Code | 88011 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAS CRUCES + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sonda Sue Boulware.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.