Linda Buckingham

Individual provider Active NPI Diabetes Educator Registered Nurse · Taos, NM

NPI 1073872057 · NPPES record last updated May 10, 2012

Key facts

NPI
1073872057
Entity type
Individual (NPI type 1)
Primary specialty
Diabetes Educator Registered Nurse 163WD0400X
License
R22682 (NM)
Practice address
1397 Weimer Rd
Diabetes Management Program
Taos, NM 87571-6253
Phone
(575) 737-3285
NPI assigned
May 10, 2012
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

State licenses

LicenseStateTypeSpecialty
R22682NMMDDiabetes Educator Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X R22682 NM Yes

Addresses

Primary practice location

1397 Weimer Rd
Diabetes Management Program
Taos, NM 87571-6253

Mailing address

1397 Weimer Rd
Diabetes Management Program
Taos, NM 87571-6253

Other providers in Taos, NM

All providers in Taos, NM · Diabetes Educator Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.