Sadie M. Benallie, L.P.N.
Individual provider Active NPI Licensed Practical Nurse · Tohatchi, NM
NPI 1679709083 · NPPES record last updated Jun 1, 2009
Key facts
- NPI
- 1679709083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L04547 (NM)
- Practice address
- 07 Choosgai Drive
Tohatchi, NM 87325 - Phone
- (505) 733-8150
- NPI assigned
- Jun 1, 2009
- 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 |
|---|---|---|---|
| L04547 | NM | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L04547 | NM | Yes |
Addresses
Primary practice location
07 Choosgai Drive
Tohatchi, NM 87325
Mailing address
PO Box 1337
Gallup, NM 87305-1337
Phone (505) 733-8150
Other providers in Tohatchi, NM
- Rory Evin Moore Aufderheide
- Joan Ayala
- Marnell Joy Becenti
- Kristine Cruz
- Dezbaa Altaalkii Damon-Mallette
- DHHS, PHS, Naihs, Gallup Indian Medical Center
- Carrie Edsitty
- John Jerome Fagel
All providers in Tohatchi, NM · Licensed Practical 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 Jun 1, 2009. 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.