Joann M Brashear, RN
Individual provider Active NPI School Registered Nurse · Maxwell, NM
NPI 1699280677 · NPPES record last updated Dec 12, 2017
Key facts
- NPI
- 1699280677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- R67199 (NM)
- Practice address
- 412 Parque Avenue
4TH and Parque Avenue
Maxwell, NM 87728 - Phone
- (575) 375-3022
- NPI assigned
- Dec 12, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| R67199 | NM | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxwell Municipal Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R67199 | NM | Yes |
Addresses
Primary practice location
412 Parque Avenue
4TH and Parque Avenue
Maxwell, NM 87728
Mailing address
PO Box 275
Maxwell, NM 87728-0275
Other providers in Maxwell, NM
All providers in Maxwell, NM · School 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 Dec 12, 2017. 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.