David Abeles

Individual provider Active NPI Emergency Registered Nurse · Gallup, NM

NPI 1407514037 · NPPES record last updated Dec 1, 2021

Key facts

NPI
1407514037
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Registered Nurse 163WE0003X
License
712632 (TX)
Practice address
516 E. Hizhoni Blvd
Gallup, NM 87301
Phone
(512) 571-8752
NPI assigned
Dec 1, 2021
Sex
Male
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

LicenseStateTypeSpecialty
712632TXMDEmergency Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 712632 TX Yes

Addresses

Primary practice location

516 E. Hizhoni Blvd
Gallup, NM 87301

Mailing address

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Other providers in Gallup, NM

All providers in Gallup, NM · Emergency Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.