Ronalyn Ivy Alindayu Atienza, RN-BC

Individual provider Active NPI Registered Nurse · Kayenta, AZ

NPI 1275207482 · NPPES record last updated Aug 3, 2021

Key facts

NPI
1275207482
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RE1955 (GU)
Practice address
Kayenta Health Center
Hwy 160 MP 394.3
Kayenta, AZ 86033
Phone
(928) 697-4000
NPI assigned
Aug 3, 2021
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

State licenses

LicenseStateTypeSpecialty
RE1955GUMDRegistered Nurse
2019034650GUMDMedical-Surgical Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 2019034650 GU
Registered Nurse 163W00000X RE1955 GU Yes

Addresses

Primary practice location

Kayenta Health Center
Hwy 160 MP 394.3
Kayenta, AZ 86033

Mailing address

2134-1 Coral Court
Kayenta, AZ 86033
Phone (928) 612-0744

Other providers in Kayenta, AZ

All providers in Kayenta, AZ · Registered Nurse in Arizona

Sources for this page

Verify at the official NPI Registry.