Emily P Weese, RN
Individual provider Active NPI Home Health Registered Nurse · Clayton, NM
NPI 1679908560 · NPPES record last updated Sep 10, 2013
Key facts
- NPI
- 1679908560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 76911 (NM)
- Practice address
- 300 Wilson St
Clayton, NM 88415-3304 - Phone
- (575) 374-2585
- Fax
- (575) 374-8146
- NPI assigned
- Sep 10, 2013
- 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 |
|---|---|---|---|
| 76911 | NM | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 76911 | NM | Yes |
Addresses
Primary practice location
300 Wilson St
Clayton, NM 88415-3304
Mailing address
300 Wilson St
Clayton, NM 88415-3304
Phone (575) 374-2585
Other names
- Emily P Kennedy
Other providers in Clayton, NM
- Alexandria Trujillo
- Jayme Shelly Trujillo
- Krista R. Trujillo
- Union County Medical Center Inc
- Mark Edward Van Wormer
- Hannah Beck Wells
- Wellspring Mental Health Practice
- Paul Michael Willette
- Quirina Lucy Wolfe
- Micah Wolffarth
All providers in Clayton, NM · Home 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 Sep 10, 2013. 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.