Lorraine Amanda Cabrillas, RN

Individual provider Active NPI Emergency Registered Nurse · Gallup, NM

NPI 1003372004 · NPPES record last updated Feb 14, 2019

Key facts

NPI
1003372004
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Registered Nurse 163WE0003X
License
RN9400085 (FL)
Practice address
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone
(505) 722-1000
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9400085FLMDEmergency Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN9400085 FL Yes

Addresses

Primary practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Mailing address

2942 Dalton St
Vernon, FL 32462-2018
Phone (850) 814-4204

Other providers in Gallup, NM

All providers in Gallup, NM · Emergency Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.