Luz Maria Chacon, RN

Individual provider Active NPI School Registered Nurse · Rio Rancho, NM

NPI 1871000992 · NPPES record last updated Jan 10, 2018

Key facts

NPI
1871000992
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
R57699 (NM)
Practice address
500 Laser Rd NE
Rio Rancho, NM 87124-4517
Phone
(505) 896-0667
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
R57699NMMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Rancho Public Schools Past Accepting new patients
Rio Rancho Public Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R57699 NM Yes

Addresses

Primary practice location

500 Laser Rd NE
Rio Rancho, NM 87124-4517

Mailing address

500 Laser Rd NE
Rio Rancho, NM 87124-4517
Phone (505) 896-0667

Other providers in Rio Rancho, NM

All providers in Rio Rancho, NM · School Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.