Judith Creegan
Individual provider Active NPI School Registered Nurse · Anthony, NM
NPI 1255752077 · NPPES record last updated Dec 20, 2013
Key facts
- NPI
- 1255752077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- R23263 (NM)
- Practice address
- 1325 W. Washington
Anthony, NM 88021-8846 - Phone
- (575) 882-1018
- Fax
- (575) 882-6926
- NPI assigned
- Dec 20, 2013
- 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 |
|---|---|---|---|
| R23263 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R23263 | NM | Yes |
Addresses
Primary practice location
1325 W. Washington
Anthony, NM 88021-8846
Mailing address
17445 Tierra Alta
Las Cruces, NM 88011
Phone (575) 382-7917
Other providers in Anthony, NM
- Joanne B Clark
- Gabriel Eduardo Contreras
- Steven Andrew Cosgrove
- Counseling and Mediation Services
- Bernadine O. Crawford
- Melissa Ruth Crew
- Irasema Cuellar
- Alexa De Alba
- Jose Luis De Anda
- Susan De la Paz
All providers in Anthony, 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 Dec 20, 2013. 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.