Kathryn D'Ancona, RN
Individual provider Active NPI Registered Nurse · Belen, NM
NPI 1063983609 · NPPES record last updated Dec 7, 2018
Key facts
- NPI
- 1063983609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN-86999 (NM)
- Practice address
- 301 Alame Loop
Belen, NM 87002-6034 - Phone
- (505) 966-2122
- NPI assigned
- Dec 7, 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 |
|---|---|---|---|
| RN-86999 | NM | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-86999 | NM | Yes |
Addresses
Primary practice location
301 Alame Loop
Belen, NM 87002-6034
Mailing address
6408 Kalgan Rd NE
Rio Rancho, NM 87144-3522
Phone (610) 585-5209
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN-86999 | Other | NM | RN LICENSE |
Other providers in Belen, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 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.