Nicole Robin Atcitty, RN
Individual provider Active NPI Registered Nurse · Gallup, NM
NPI 1710171293 · NPPES record last updated Aug 28, 2007
Key facts
- NPI
- 1710171293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R44198 (NM)
- Practice address
- 516 Nizhoni Blvd
Gallup, NM 87301-5748 - Phone
- (505) 722-1000
- Fax
- (505) 722-1310
- NPI assigned
- Aug 28, 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R44198 | NM | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R44198 | NM | Yes |
Addresses
Primary practice location
516 Nizhoni Blvd
Gallup, NM 87301-5748
Mailing address
PO Box 1337
Gallup, NM 87305-1337
Phone (505) 722-1000
Other providers in Gallup, NM
- Carole Ashley
- Clarice Ashley
- Melissa Ashley
- Michael J Ashlock
- Anthony Hans Aspaas
- Kathleen Cheryl Atene
- Pamela Atkins
- Kimberly Monroe Austin
- Avenues Early Childhood Services, Inc.
- Roselle Montesino Avila
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 Aug 28, 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.