Bobilyn Jo Waite, REGISTERED NURSE

Individual provider Active NPI Registered Nurse · Crownpoint, NM

NPI 1528956315 · NPPES record last updated Jun 27, 2025

Key facts

NPI
1528956315
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN9586137 (FL)
Practice address
PO Box 358
Crownpoint, NM 87313-0358
Phone
(505) 786-5291
NPI assigned
Jun 27, 2025
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

LicenseStateTypeSpecialty
RN9586137FLMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9586137 FL Yes

Addresses

Primary practice location

PO Box 358
Crownpoint, NM 87313-0358

Mailing address

PO Box 358
Crownpoint, NM 87313-0358

Other providers in Crownpoint, NM

All providers in Crownpoint, NM · Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.