Elizabeth Hartshorn
Individual provider Active NPI School Registered Nurse · Vado, NM
NPI 1134575962 · NPPES record last updated May 11, 2016
Key facts
- NPI
- 1134575962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- R42575 (NM)
- Practice address
- 330 Holguin Rd
Vado, NM 88072-7220 - Phone
- (575) 233-5004
- NPI assigned
- May 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R42575 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R42575 | NM | Yes |
Addresses
Primary practice location
330 Holguin Rd
Vado, NM 88072-7220
Mailing address
330 Holguin Rd
Vado, NM 88072-7220
Other providers in Vado, NM
- A Safe Haven
- Ofelia Estrada Chavez
- Maira A Gaytan Ortega
- Lactation Consutant on the Go LLC
- Teresa R Marquez
- Ivonne Olson Penuela
- Dario Saucedo
- Deborah Stafford
All providers in Vado, 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 May 11, 2016. 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.