Monica Eggleston, RN MSN

Individual provider Active NPI Nurse Practitioner · Crownpoint, NM

NPI 1326262981 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1326262981
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
AP30007619 (WA)
Practice address
Highway 371 Junction Route 9
Crownpoint, NM 87313-0358
Phone
(505) 786-5291
Fax
(505) 786-6440
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30007619 WA Yes

Addresses

Primary practice location

Highway 371 Junction Route 9
Crownpoint, NM 87313-0358

Mailing address

PO Box 358
Crownpoint, NM 87313-0358
Phone (505) 786-5291

Other identifiers

IdentifierTypeStateIssuer
381063MedicaidNM

Other providers in Crownpoint, NM

All providers in Crownpoint, NM · Nurse Practitioner in New Mexico

Sources for this page

Verify at the official NPI Registry.