Avalon Santana Zakazakina, RN
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Mescalero, NM
NPI 1609683697 · NPPES record last updated Dec 13, 2024
Key facts
- NPI
- 1609683697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 76328 (NM)
- Practice address
- 454 Lipan Avenue
Mescalero, NM 88340 - Phone
- (575) 464-4802
- NPI assigned
- Dec 13, 2024
- 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 |
|---|---|---|---|
| 76328 | NM | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 76328 | NM | Yes |
Addresses
Primary practice location
454 Lipan Avenue
Mescalero, NM 88340
Mailing address
82 Pioneer Dr
Timberon, NM 88350-9678
Phone (575) 987-2209
Other providers in Mescalero, NM
- Theresa Treas-Cornelius
- Cody J Turnbow
- Wesley Luis Vargas-Araya
- Patrick Norman Vigil II
- Holly K Wilson
- Philip J Zinser
All providers in Mescalero, NM · Psychiatric/Mental Health 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 Dec 13, 2024. 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.