Lois Coomer
Individual provider Active NPI Registered Nurse · Isleta, NM
NPI 1477964419 · NPPES record last updated May 13, 2014
Key facts
- NPI
- 1477964419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R44523 (NM)
- Practice address
- 01 Sagebrush Street
Isleta, NM 87022 - Phone
- (505) 869-4874
- NPI assigned
- May 13, 2014
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R44523 | NM | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R44523 | NM | Yes |
Addresses
Primary practice location
01 Sagebrush Street
Isleta, NM 87022
Mailing address
PO Box 640
Isleta, NM 87022-0640
Phone (505) 869-4874
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R44523 | Other | NM | RN LICENSE |
Other providers in Isleta, NM
- Misti Marlene Chavez
- Lisa K Cherino
- Susan Stephanie Chewiwi
- Jessica Chynoweth
- Kimberly L. Conklan
- Annie Felicia Coots
- Charlene Nicolette Gabaldon
- Roseann Garcia
- Devin Kyle Giron
- Juan J Gutierrez
All providers in Isleta, 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 May 13, 2014. 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.