Rebekah Bainter, RN

Individual provider Active NPI School Registered Nurse · Aztec, NM

NPI 1013634211 · NPPES record last updated Oct 27, 2022

Key facts

NPI
1013634211
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
RN-84389 (NM)
Practice address
455 N Light Plant Rd
Aztec, NM 87410-1517
Phone
(505) 334-6102
NPI assigned
Oct 27, 2022
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
RN-84389NMMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN-84389 NM Yes

Addresses

Primary practice location

455 N Light Plant Rd
Aztec, NM 87410-1517

Mailing address

455 N Light Plant Rd
Aztec, NM 87410-1517

Other providers in Aztec, NM

All providers in Aztec, NM · School Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.