Pamela Fisher, RN

Individual provider Active NPI Registered Nurse · Bosque Farms, NM

NPI 1699338632 · NPPES record last updated Apr 16, 2019

Key facts

NPI
1699338632
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R26727 (NM)
Practice address
715 Calle del Sol
Bosque Farms, NM 87068-9798
Phone
(505) 730-6228
NPI assigned
Apr 16, 2019
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

LicenseStateTypeSpecialty
R26727NMMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R26727 NM Yes

Addresses

Primary practice location

715 Calle del Sol
Bosque Farms, NM 87068-9798

Mailing address

715 Calle del Sol
Bosque Farms, NM 87068-9798
Phone (505) 730-6228

Other providers in Bosque Farms, NM

All providers in Bosque Farms, NM · Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.