Individual ProviderAlexandra V, Von DiergardtCase Manager/Care CoordinatorOther Service ProvidersPractice Address2325 Cerrillos Rd, Santa Fe, NM 87505-3373(505) 438-0010(505) 310-4956PECOS EnrollmentBased on the most recent information from CMS, provider Alexandra V, Von Diergardt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1518285626Provider TypeIndividualFull NameVon Diergardt, Alexandra V,TitleMs.CredentialM.A.GenderFemaleSole ProprietorNoEnumeration Date5/13/2010Last Updated5/13/2010Contact InformationPractice LocationPractice Address2325 Cerrillos Rd, Santa Fe, NM 87505-3373Phone(505) 438-0010Fax(505) 438-6011Mailing LocationMailing Address314 Garcia St, Santa Fe, NM 87501-2892Phone(505) 310-4956FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer