Angelita C Boloz, RN
Individual provider Active NPI Registered Nurse · Gallup, NM
NPI 1851620587 · NPPES record last updated Dec 8, 2009
Key facts
- NPI
- 1851620587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN110756 (AZ)
- Practice address
- 516 Nizhoni Blvd
Gallup, NM 87301-5748 - Phone
- (505) 722-1666
- Fax
- (505) 722-1487
- NPI assigned
- Dec 8, 2009
- 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 |
|---|---|---|---|
| RN110756 | AZ | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN110756 | AZ | Yes |
Addresses
Primary practice location
516 Nizhoni Blvd
Gallup, NM 87301-5748
Mailing address
516 Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1666
Other providers in Gallup, NM
- Megan Bodemuller
- Cecelia Bodiford
- April Bokingkito
- Oscar Bokingkito
- Tristan S Bolen
- April L Bonds
- Rebecca Ann Bongers
- Bonney Home Inc
- Rebecca Lynn Boone
- Lorelia Booqua-Pooacha
All providers in Gallup, NM · 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 Dec 8, 2009. 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.