Pearl A Alonzo, RN
Individual provider Active NPI Community Health Registered Nurse · Pine Hill, NM
NPI 1043535388 · NPPES record last updated Mar 30, 2010
Key facts
- NPI
- 1043535388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- R41899 (NM)
- Practice address
- Bia 125
Pine Hill Health Center
Pine Hill, NM 87357 - Phone
- (505) 775-3271
- Fax
- (505) 775-3633
- NPI assigned
- Mar 30, 2010
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R41899 | NM | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | R41899 | NM | Yes |
Addresses
Primary practice location
Bia 125
Pine Hill Health Center
Pine Hill, NM 87357
Mailing address
PO Box 310
Pinehill, NM 87357-0310
Phone (505) 775-3271
Other providers in Pine Hill, NM
- Gracie Apachito
- Arlene Leola Blanton
- Myeshia La'Tway Carroll
- William Lloyd Cloud Jr.
- Triston Shane Eriacho
All providers in Pine Hill, NM · Community Health Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.