Susan Stephanie Chewiwi, M.S.
Individual provider Active NPI Community Health Registered Nurse · Isleta, NM
NPI 1295312338 · NPPES record last updated Mar 25, 2021
Key facts
- NPI
- 1295312338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- R31878 (NM)
- Practice address
- 01 Sagebrush
Isleta, NM 87022 - Phone
- (505) 869-4864
- Fax
- (505) 869-4862
- NPI assigned
- Mar 25, 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R31878 | NM | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | R31878 | NM | Yes |
Addresses
Primary practice location
01 Sagebrush
Isleta, NM 87022
Mailing address
P.O Box 640
Isleta, NM 87022-0640
Phone (505) 869-4864
Other providers in Isleta, NM
- Erica Marie Carrillo
- Kaylee Briana Chavez
- Keely Justice Chavez
- Misti Marlene Chavez
- Lisa K Cherino
- Jessica Chynoweth
- Kimberly L. Conklan
- Lois Coomer
- Annie Felicia Coots
- Charlene Nicolette Gabaldon
All providers in Isleta, NM · Community Health 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 Mar 25, 2021. 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.