Brennia Delacruz, RN BSN
Individual provider Active NPI Registered Nurse · Tohajiilee, NM
NPI 1689488124 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1689488124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 66868 (NM)
- Practice address
- 129 Medicine Horse Dr
Tohajiilee, NM 87026 - Phone
- (505) 908-2307
- Fax
- (505) 908-2306
- NPI assigned
- Feb 5, 2025
- 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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66868 | NM | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 66868 | NM | Yes |
Addresses
Primary practice location
129 Medicine Horse Dr
Tohajiilee, NM 87026
Mailing address
129 Medicine Horse Dr
Tohajiilee, NM 87026
Phone (505) 908-2307
Other providers in Tohajiilee, NM
- Canoncito Band of Navajos Health Center
- Canoncito Band of Navajos Health Center, Inc.
- Canoncito Band of Navajos Health Center, Inc.
- Elizabeth Cumby
- Raelene J Danny
- Tyrone Etsitty
- Judith Gould
- Mariah Kayla Jake
- Jonathan John Johnson
- Ruth Lynne Kelly
All providers in Tohajiilee, 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 Feb 5, 2025. 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.