Carol Anne Chase, R.N.

Individual provider Active NPI School Registered Nurse · Cuba, NM

NPI 1285710327 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1285710327
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
R43883 (NM)
Practice address
50 County Rd 13
Cuba, NM 87013-0070
Phone
(505) 289-3211
NPI assigned
Oct 31, 2006
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R43883NMMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R43883 NM Yes

Addresses

Primary practice location

50 County Rd 13
Cuba, NM 87013-0070

Mailing address

PO Box 125
Cuba, NM 87013-0125
Phone (505) 289-9128

Other providers in Cuba, NM

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

Sources for this page

Verify at the official NPI Registry.