Eleanor P Andy, RN

Individual provider Active NPI Registered Nurse · Gallup, NM

NPI 1225223993 · NPPES record last updated Sep 6, 2007

Key facts

NPI
1225223993
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN31331 (NM)
Practice address
516 Nizhoni Blvd
Gallup, NM 87301-5748
Phone
(505) 722-1000
Fax
(505) 722-1310
NPI assigned
Sep 6, 2007
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

LicenseStateTypeSpecialty
RN31331NMMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN31331 NM Yes

Addresses

Primary practice location

516 Nizhoni Blvd
Gallup, NM 87301-5748

Mailing address

PO Box 1337
Gallup, NM 87305-1337
Phone (505) 722-1000

Other providers in Gallup, NM

All providers in Gallup, NM · Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.