Starrann Moon, BSN, RN
Individual provider Active NPI School Registered Nurse · Cliff, NM
NPI 1598439077 · NPPES record last updated Aug 6, 2021
Key facts
- NPI
- 1598439077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- RN-89226 (NM)
- Practice address
- 622 Highway 211
Cliff, NM 88028-1215 - Phone
- (575) 535-2051
- NPI assigned
- Aug 6, 2021
- 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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-89226 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN-89226 | NM | Yes |
Addresses
Primary practice location
622 Highway 211
Cliff, NM 88028-1215
Mailing address
PO Box 1983
Silver City, NM 88062-1983
Phone (575) 574-8136
Other providers in Cliff, NM
All providers in Cliff, 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 Aug 6, 2021. 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.