Sharron Wanda Gray
Individual provider Active NPI Case Manager/Care Coordinator · Nogal, NM
NPI 1205258019 · NPPES record last updated Jan 13, 2014
Key facts
- NPI
- 1205258019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- HC 67 Box 204
Nogal, NM 88341-9712 - Phone
- (575) 354-8406
- NPI assigned
- Jan 13, 2014
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
HC 67 Box 204
Nogal, NM 88341-9712
Mailing address
HC 67 Box 204
Nogal, NM 88341-9712
Phone (575) 354-8406
Other providers in Nogal, NM
All providers in Nogal, NM · Case Manager/Care Coordinator 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 Jan 13, 2014. 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.