Nancy Ashworth, LPN
Individual provider Active NPI Licensed Practical Nurse · Bloomfield, NM
NPI 1689882367 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1689882367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L05799 (NM)
- Practice address
- 310 W Sycamore Ave
Bloomfield, NM 87413-5844 - Phone
- (505) 634-3673
- Fax
- (505) 634-3675
- NPI assigned
- May 18, 2007
- 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 |
|---|---|---|---|
| L05799 | NM | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L05799 | NM | Yes |
Addresses
Primary practice location
310 W Sycamore Ave
Bloomfield, NM 87413-5844
Mailing address
2619 N Mossman Dr
Farmington, NM 87401-9401
Phone (505) 634-3673
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64434826 | Medicaid | NM |
Other providers in Bloomfield, NM
- Georgina G. Alby
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- Elizabeth Applegate
- Sara Elaine Asbury
- Sharlee Ashley
- Joshua Atencio
- Albert Avery
- James Bellah
- Krista Berrigan
- Bloomfield Chiropractor Center Inc
All providers in Bloomfield, 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 Jul 9, 2007. 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.