Brenda L Carabajal
Individual provider Active NPI Registered Nurse · Grants, NM
NPI 1669093977 · NPPES record last updated Apr 28, 2020
Key facts
- NPI
- 1669093977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 46069 (NM)
- Practice address
- 200 W Santa Fe Ave
Grants, NM 87020-2530 - Phone
- (505) 287-5483
- NPI assigned
- Apr 28, 2020
- 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 |
|---|---|---|---|
| 46069 | NM | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 46069 | NM | Yes |
Addresses
Primary practice location
200 W Santa Fe Ave
Grants, NM 87020-2530
Mailing address
1831 Alif Rd NE
Rio Rancho, NM 87144-1586
Phone (505) 879-4802
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616784300 | Other | NM | DOL PROVIDER NUMBER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | microsoft | Direct | |
| Other URL | Direct |
Other providers in Grants, NM
- Linda A Brito
- Cheryl Ann Buck
- C.O.P.E Counseling LLC
- Shelly Kristine Campbell
- Gabriel S Candelaria
- Carolyn Michelle Carter-Clark
- Ellen Casavantes
- Charity Ann Casias
- Shanise Castaneda
- Celestee Cathey
All providers in Grants, 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 Apr 28, 2020. 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.