Gail Cimino, LPN
Individual provider Active NPI Licensed Practical Nurse · Raton, NM
NPI 1780104539 · NPPES record last updated Jun 22, 2017
Key facts
- NPI
- 1780104539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L12026 (NM)
- Practice address
- 220 4TH Ave
Raton, NM 87740-2643 - Phone
- (575) 445-2754
- NPI assigned
- Jun 22, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| L12026 | NM | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Community Services, Inc | Past | Accepting new patients | |
| Noesis Integrative Health Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L12026 | NM | Yes |
Addresses
Primary practice location
220 4TH Ave
Raton, NM 87740-2643
Mailing address
PO Box 94508
Albuquerque, NM 87199-4508
Phone (505) 274-7337
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L12026 | Other | NM | NM BOARD OF NURSING |
Other providers in Raton, NM
- Rick Castellini
- Charles L Secora
- Louisa Gayle Chavez
- Kelli Chiaramonte
- Sydney L. Chilton
- Citizens for the Developmentally Disabled, Inc.
- City of Raton
- Colfax Senior Care
- Loretta A Conder
- Kathyrn Cortez
All providers in Raton, 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 Jun 22, 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.