Denise Marie Fallwell, CNP
Individual provider Active NPI Registered Nurse · El Rito, NM
NPI 1437113545 · NPPES record last updated Feb 3, 2010
Key facts
- NPI
- 1437113545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R40330 (NM)
- Practice address
- Hwy 571 #28
El Rito, NM 87530 - Phone
- (505) 581-4728
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R40330 | NM | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R40330 | NM | Yes |
Addresses
Primary practice location
Hwy 571 #28
El Rito, NM 87530
Mailing address
PO Box 129
El Rito, NM 87530-0129
Phone (505) 581-4728
Other providers in El Rito, NM
- Samantha Brenner
- Jennifer Lynn Castaneda-Lovato
- Elena Colas
- Roxanne Collins
- Barbara G Denevers
- David Anthony Garcia
- Adriana Gonzales
- Kathryn S. Keith
- Las Clinicas del Norte, Incorporated
- Michael E Lukavsky
All providers in El Rito, NM · 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 Feb 3, 2010. 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.