Melissa Smith, LPN
Individual provider Active NPI Licensed Practical Nurse · Cimarron, NM
NPI 1831858687 · NPPES record last updated Dec 9, 2021
Key facts
- NPI
- 1831858687
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L17496 (NM)
- Practice address
- 165 N Collison Ave
Cimarron, NM 87714-8505 - Phone
- (575) 376-2445
- NPI assigned
- Dec 9, 2021
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L17496 | NM | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L17496 | NM | Yes |
Addresses
Primary practice location
165 N Collison Ave
Cimarron, NM 87714-8505
Mailing address
PO Box 63
Cimarron, NM 87714-0063
Phone (575) 447-5090
Other providers in Cimarron, NM
- Adrian Esquivel
- Alison Gagnon
- Henry K Hillman
- Abbie L Laursen
- Presbyterian Healthcare Services
- South Central Colfax County Hospital District
- Sunrise Clinics
- Kathleen Anne Veit
- Village of Cimarron
- Elizabeth A Wallace
All providers in Cimarron, 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 Dec 9, 2021. 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.