Taylor Blades, RN,BSN
Individual provider Active NPI School Registered Nurse · Farmington, NM
NPI 1649080102 · NPPES record last updated Jan 8, 2025
Key facts
- NPI
- 1649080102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 69121 (NM)
- Practice address
- 3401 E 30TH St
Farmington, NM 87402-8805 - Phone
- (505) 599-8617
- Fax
- (855) 290-2205
- NPI assigned
- Jan 8, 2025
- 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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69121 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 69121 | NM | Yes |
Addresses
Primary practice location
3401 E 30TH St
Farmington, NM 87402-8805
Mailing address
3401 E 30TH St
Farmington, NM 87402-8805
Other providers in Farmington, NM
- Wendy D Bircher
- Patricia Faye Bird
- Amylia Ashley Black
- Cameron C. Black
- Samuel Blackie
- Ramona A Blagg
- Amber Ruth Blake
- Ernesto Antonio Blanco
- Richard Stanfill Blankenbaker Jr.
- Mark Bentley Bleak
All providers in Farmington, 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 Jan 8, 2025. 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.