Pamela Atkins, RN

Individual provider Active NPI Registered Nurse · Gallup, NM

NPI 1821275645 · NPPES record last updated Jan 23, 2008

Key facts

NPI
1821275645
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R39633 (NM)
Practice address
516 Nizhoni Blvd
Gallup, NM 87301-5748
Phone
(505) 722-1000
Fax
(505) 722-1310
NPI assigned
Jan 23, 2008
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

LicenseStateTypeSpecialty
R39633NMMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R39633 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

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

Sources for this page

Verify at the official NPI Registry.