Shonda Waldrop, RN
Individual provider Active NPI School Registered Nurse · Loving, NM
NPI 1386195766 · NPPES record last updated Oct 20, 2016
Key facts
- NPI
- 1386195766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- RN-76814 (NM)
- Practice address
- 602 S 6TH
Loving, NM 88256 - Phone
- (575) 745-2077
- NPI assigned
- Oct 20, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN-76814 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN-76814 | NM | Yes |
Addresses
Primary practice location
602 S 6TH
Loving, NM 88256
Mailing address
PO Box 98
Loving, NM 88256-0098
Phone (575) 745-2077
Other providers in Loving, NM
- Cynthia Marie Gay
- Rebecca Navarrette
- Presbyterian Medical Services
- Brigitte Stewart
- Cynthia C Valdez
All providers in Loving, 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 Oct 20, 2016. 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.