Mary Melinda Andress, RN
Individual provider Active NPI Emergency Registered Nurse · Gallup, NM
NPI 1063909638 · NPPES record last updated Apr 18, 2018
Key facts
- NPI
- 1063909638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- R874644 (MS)
- Practice address
- 516 E Nizhoni Blvd
Gallup, NM 87301-5748 - Phone
- (505) 722-1165
- NPI assigned
- Apr 18, 2018
- 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 |
|---|---|---|---|
| R874644 | MS | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | R874644 | MS | Yes |
Addresses
Primary practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Mailing address
13 Crestwood Dr
Vicksburg, MS 39180-6243
Phone (601) 218-0100
Other providers in Gallup, NM
- Ramona V. Anderson
- William Stanton Anderson III
- Aedra D. Andrade
- Christina Ann Andrade
- Elizabeth Andrade
- Christie Andy
- Eleanor P Andy
- Liberty Javenia Ang
- Anthony L. Arviso
- Becky Lynn Anton
All providers in Gallup, NM · Emergency 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 Apr 18, 2018. 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.