Oscar Bokingkito, RN

Individual provider Active NPI Registered Nurse · Gallup, NM

NPI 1821823634 · NPPES record last updated Sep 3, 2024

Key facts

NPI
1821823634
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN-81348 (NM)
Practice address
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone
(505) 722-1790
NPI assigned
Sep 3, 2024
Sex
Male
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
RN-81348NMMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-81348 NM Yes

Addresses

Primary practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Mailing address

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1790

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.