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

Diana Paola Licon

Individual provider Community Health Worker · NPI 1326908005

Diana Paola Licon is a Community Health Worker in Santa Teresa, New Mexico. Licensed in New Mexico. Registered with an NPI since 2025.

Licensed in
NM
In the registry since
2025

Practice location Address checks out

5805 McNutt Rd
Santa Teresa, NM 88008-8001
Phone: (575) 332-4007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (NM)

Record details

NPI number1326908005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2025
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

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