Nancy M Halonen, R.N.

Individual provider Active NPI Registered Nurse · Isleta, NM

NPI 1326219007 · NPPES record last updated Mar 20, 2008

Key facts

NPI
1326219007
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R61456 (NM)
Practice address
#1 Sagebrush Road
Isleta, NM 87022
Phone
(505) 869-4863
Fax
(505) 869-4881
NPI assigned
Mar 20, 2008
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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R61456NMMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R61456 NM Yes

Addresses

Primary practice location

#1 Sagebrush Road
Isleta, NM 87022

Mailing address

#1 Sagebrush Road
Isleta, NM 87022
Phone (505) 869-4863

Other identifiers

IdentifierTypeStateIssuer
R61456OtherNMLICENSE

Other providers in Isleta, NM

All providers in Isleta, NM · Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.