Brenda D'Ann Perry, RN

Individual provider Active NPI Registered Nurse · Lovington, NM

NPI 1790283786 · NPPES record last updated Jan 25, 2018

Key facts

NPI
1790283786
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R21443 (NM)
Practice address
700 W Jefferson
Lovington, NM 88260
Phone
(575) 739-2490
NPI assigned
Jan 25, 2018
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
R21443NMMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R21443 NM Yes

Addresses

Primary practice location

700 W Jefferson
Lovington, NM 88260

Mailing address

18 W Washington
Lovington, NM 88260
Phone (575) 739-2712

Other names

  • Brenda D Shirley Former name

Other providers in Lovington, NM

All providers in Lovington, NM · Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.