Raquel Calderon

Individual provider Active NPI School Registered Nurse · Anthony, NM

NPI 1023879988 · NPPES record last updated Jan 18, 2024

Key facts

NPI
1023879988
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
739288 (TX)
Practice address
1325 W Washington St
Anthony, NM 88021-8846
Phone
(575) 882-6101
NPI assigned
Jan 18, 2024
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

State licenses

LicenseStateTypeSpecialty
739288TXMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 739288 TX Yes

Addresses

Primary practice location

1325 W Washington St
Anthony, NM 88021-8846

Mailing address

1325 Washington St
Anthony, NM 88021-8846
Phone (575) 882-6101

Other practice location 1

1325 Washington St
Anthony, NM 88021-8846
Phone (575) 882-6101

Other providers in Anthony, NM

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

Sources for this page

Verify at the official NPI Registry.