Pamela Ann Acree, RN

Individual provider Active NPI School Registered Nurse · Clovis, NM

NPI 1285301663 · NPPES record last updated Aug 24, 2021

Key facts

NPI
1285301663
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
R67556 (NM)
Practice address
1600 Sutter PL
Clovis, NM 88101-4611
Phone
(575) 769-4490
Fax
(575) 769-4430
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
R67556NMMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Clovis Municipal Schools Past
since Aug 29, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R67556 NM Yes

Addresses

Primary practice location

1600 Sutter PL
Clovis, NM 88101-4611

Mailing address

PO Box 19000
Clovis, NM 88102-9000
Phone (575) 769-4490

Other providers in Clovis, NM

All providers in Clovis, NM · School Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.