Charlene Nicolette Gabaldon, RN
Individual provider Active NPI Hospice Registered Nurse · Isleta, NM
NPI 1811547995 · NPPES record last updated Oct 18, 2019
Key facts
- NPI
- 1811547995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospice Registered Nurse 163WH1000X
- License
- R42860 (NM)
- Practice address
- 01 Sagebrush
Isleta, NM 87022 - Phone
- (505) 869-3200
- Fax
- (505) 869-4881
- NPI assigned
- Sep 19, 2019
- 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 |
|---|---|---|---|
| R42860 | NM | MD | Hospice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | R42860 | NM | Yes |
Addresses
Primary practice location
01 Sagebrush
Isleta, NM 87022
Mailing address
PO Box 640
Isleta, NM 87022-0640
Phone (505) 869-4866
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R42860 | Other | NM | LICENSE |
Other providers in Isleta, NM
- Susan Stephanie Chewiwi
- Jessica Chynoweth
- Kimberly L. Conklan
- Lois Coomer
- Annie Felicia Coots
- Roseann Garcia
- Devin Kyle Giron
- Juan J Gutierrez
- Nancy M Halonen
- Merel Hancock
All providers in Isleta, NM · Hospice 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 Oct 18, 2019. 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.