Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wellspring of Life Enterprises LLC

Organization Family Medicine Physician · NPI 1700495165

Wellspring of Life Enterprises LLC is a Family Medicine Physician in Roswell, New Mexico. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109 W Bland St
Roswell, NM 88203-5708
Phone: (575) 420-1609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1700495165
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary McMahon — Owner · (575) 420-1609
NPI enumeratedJuly 30, 2020
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020
Mailing addressPo Box 711, Roswell, NM 88202-0711

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