Wanda Begay, RN

Individual provider Active NPI Administrator Registered Nurse · Gallup, NM

NPI 1669890463 · NPPES record last updated Mar 31, 2014

Key facts

NPI
1669890463
Entity type
Individual (NPI type 1)
Primary specialty
Administrator Registered Nurse 163WA2000X
License
RN067682 (AZ)
Practice address
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone
(505) 722-1000
NPI assigned
Mar 31, 2014
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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN067682AZMDAdministrator Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN067682 AZ Yes

Addresses

Primary practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Mailing address

PO Box 1113
Ganado, AZ 86505-1113
Phone (505) 722-1000

Other providers in Gallup, NM

All providers in Gallup, NM · Administrator Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.