Tawnya Burton, RN, ALNC
Individual provider Active NPI School Registered Nurse · Elida, NM
NPI 1083499669 · NPPES record last updated Aug 30, 2023
Key facts
- NPI
- 1083499669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- R39569 (NM)
- Practice address
- 103 North Church
Elida, NM 88116 - Phone
- (575) 274-6211
- NPI assigned
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| R39569 | NM | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Educational Center #6 | Past |
Accepting new patients | |
| Regional Educational Center #6 | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R39569 | NM | Yes |
Addresses
Primary practice location
103 North Church
Elida, NM 88116
Mailing address
PO Box 847
Portales, NM 88130-0847
Phone (575) 562-4455
Other providers in Elida, NM
All providers in Elida, NM · School 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 Aug 30, 2023. 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.