Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Wellspring of Life Enterprises LLC

Organization Family Medicine Physician · NPI 1700495165

Wellspring of Life Enterprises LLC provides Family Medicine Physician services 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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