Tami Allison, RN

Individual provider Active NPI Case Management Registered Nurse · Gallup, NM

NPI 1366836744 · NPPES record last updated Mar 24, 2015

Key facts

NPI
1366836744
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Registered Nurse 163WC0400X
License
R50228 (NM)
Practice address
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone
(505) 722-1000
NPI assigned
Mar 24, 2015
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
R50228NMMDCase Management Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X R50228 NM Yes

Addresses

Primary practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Mailing address

PO Box 1337
Gallup, NM 87305-1337
Phone (505) 722-1000

Other providers in Gallup, NM

All providers in Gallup, NM · Case Management Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.