Brittany N Antonio
Individual provider Active NPI Registered Nurse · Gallup, NM
NPI 1689257487 · NPPES record last updated Apr 30, 2021
Key facts
- NPI
- 1689257487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 58206 (NM)
- Practice address
- 516 E Nizhoni Blvd
Gallup, NM 87301-5748 - Phone
- (505) 722-1000
- NPI assigned
- Apr 30, 2021
- 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 |
|---|---|---|---|
| 58206 | NM | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 58206 | NM | Yes |
Addresses
Primary practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Mailing address
PO Box 127
Vanderwagen, NM 87326-0127
Other providers in Gallup, NM
- Christie Andy
- Eleanor P Andy
- Liberty Javenia Ang
- Anthony L. Arviso
- Becky Lynn Anton
- Priscilla Antonio
- Apexnetwork New Mexico, LLC
- Chaficath Tatiana Aponte
- App of New Mexico Ed PLLC
- App of New Mexico HM PLLC
All providers in Gallup, 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 30, 2021. 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.