Le Vonne K Biakeddy, RN

Individual provider Active NPI Registered Nurse · Crownpoint, NM

NPI 1265254171 · NPPES record last updated Oct 30, 2024

Key facts

NPI
1265254171
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN196664 (AZ)
Practice address
PO Box 358
Crownpoint, NM 87313-0358
Phone
(505) 786-5291
NPI assigned
Oct 30, 2024
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
RN196664AZMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN196664 AZ Yes

Addresses

Primary practice location

PO Box 358
Crownpoint, NM 87313-0358

Mailing address

PO Box 358
Crownpoint, NM 87313-0358
Phone (505) 786-5291

Other providers in Crownpoint, NM

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

Sources for this page

Verify at the official NPI Registry.