Arlene Lopez Anderson

Individual provider Active NPI Critical Care Medicine Registered Nurse · Gallup, NM

NPI 1013676436 · NPPES record last updated Dec 13, 2021

Key facts

NPI
1013676436
Entity type
Individual (NPI type 1)
Primary specialty
Critical Care Medicine Registered Nurse 163WC0200X
License
RN-86483 (NM)
Practice address
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone
(505) 722-1000
NPI assigned
Dec 13, 2021
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

State licenses

LicenseStateTypeSpecialty
RN-86483NMMDCritical Care Medicine Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN-86483 NM Yes

Addresses

Primary practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Mailing address

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000

Other providers in Gallup, NM

All providers in Gallup, NM · Critical Care Medicine Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.