Audrey Deniece Dumas, RN
Individual provider Active NPI School Registered Nurse · Peralta, NM
NPI 1447729397 · NPPES record last updated Nov 21, 2018
Key facts
- NPI
- 1447729397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 82060 (NM)
- Practice address
- 3645 NM-47
Peralta, NM 87042 - Phone
- (505) 869-2679
- NPI assigned
- Nov 21, 2018
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82060 | NM | MD | School Registered Nurse |
| RN-82060 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN-82060 | NM | |
| School Registered Nurse | 163WS0200X | 82060 | NM | Yes |
Addresses
Primary practice location
3645 NM-47
Peralta, NM 87042
Mailing address
3645 NM-47
Peralta, NM 87042
Phone (505) 869-2679
Other providers in Peralta, NM
- Diana Alvarez
- Samantha Carrillo
- Elicea Marie Coca
- Duke City Surgical Assisting LLC
- Courtney Emily Escalera
- Rebecca Evanko
- Felipe Rivera Occupational Therapy Services, LLC
- Emily Ferreira
- Regina Gantt
All providers in Peralta, 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 Nov 21, 2018. 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.