Provider Demographics
NPI:1164304515
Name:GARRINGER, SELINA JULES (CCSS)
Entity type:Individual
Prefix:
First Name:SELINA
Middle Name:JULES
Last Name:GARRINGER
Suffix:
Gender:F
Credentials:CCSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 N ALAMEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-2590
Mailing Address - Country:US
Mailing Address - Phone:256-843-1882
Mailing Address - Fax:575-571-4130
Practice Address - Street 1:303 N ALAMEDA BLVD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-2590
Practice Address - Country:US
Practice Address - Phone:256-843-1882
Practice Address - Fax:575-571-4130
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNA172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker