Sylvia K Smart, RN

Individual provider Active NPI Registered Nurse · Mescalero, NM

NPI 1023118890 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1023118890
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R22641 (AR)
Practice address
318 Ablone Loop
Mescalero, NM 88340-0210
Phone
(505) 464-3803
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

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
R22641ARMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R22641 AR Yes

Addresses

Primary practice location

318 Ablone Loop
Mescalero, NM 88340-0210

Mailing address

PO Box 143
Glencoe, NM 88324-0143
Phone (505) 464-3803

Other providers in Mescalero, NM

All providers in Mescalero, NM · Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.