Cortney Dawn Miner Preator, RN
Individual provider Active NPI School Registered Nurse · Bloomfield, NM
NPI 1306002183 · NPPES record last updated Aug 14, 2023
Key facts
- NPI
- 1306002183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 74947 (NM)
- Practice address
- 325 N Bergin LN
Bloomfield, NM 87413-6729 - Phone
- (505) 634-3673
- Fax
- (505) 634-3675
- NPI assigned
- Jul 31, 2008
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 850 | WY | MD | Registered Nurse |
| 74947 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 850 | WY | |
| School Registered Nurse | 163WS0200X | 74947 | NM | Yes |
Addresses
Primary practice location
325 N Bergin LN
Bloomfield, NM 87413-6729
Mailing address
325 N Bergin LN
Bloomfield, NM 87413-6729
Phone (505) 634-2121
Other names
- Cortney Dawn Marshall
Other providers in Bloomfield, NM
- Jennifer I Martin
- Darlene M Martinez
- Amy Elizabeth Massey
- Randy R Maxson
- Cynthia L Miller
- Carol J. Morehouse
- Laura Mundschau
- Nida Naqvi
- Christopher L Nuttall
- Maria Lynn Oliphant
All providers in Bloomfield, NM · School 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 Aug 14, 2023. 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.