Loretta Berumen
Individual provider Active NPI School Registered Nurse · Santa Teresa, NM
NPI 1376376178 · NPPES record last updated Aug 26, 2024
Key facts
- NPI
- 1376376178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 558998 (TX)
- Practice address
- 4950 McNutt Rd
Santa Teresa, NM 88008-9621 - Phone
- (575) 882-6101
- NPI assigned
- Aug 26, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 558998 | TX | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 558998 | TX | Yes |
Addresses
Primary practice location
4950 McNutt Rd
Santa Teresa, NM 88008-9621
Mailing address
4950 McNutt Rd
Santa Teresa, NM 88008-9621
Other providers in Santa Teresa, NM
- Kayla Banks
- Paige Allyse Barrera
- David Richard Bean
- Maria Theresa Becerra
- Christina Beltran
- Jabe Alain Betancourt
- Jacqueline Arlet Betancourt
- Bienestar Family Counseling Center, LLC
- Heather Blain
- Kevin R Blain
All providers in Santa Teresa, 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 26, 2024. 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.