Pamela Smiley, RN

Individual provider Active NPI Registered Nurse · Tohatchi, NM

NPI 1871787903 · NPPES record last updated Aug 31, 2007

Key facts

NPI
1871787903
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R40886 (NM)
Practice address
07 Choosghi Drive
Tohatchi, NM 87325
Phone
(505) 733-8100
Fax
(505) 733-8239
NPI assigned
Aug 31, 2007
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
R40886NMMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R40886 NM Yes

Addresses

Primary practice location

07 Choosghi Drive
Tohatchi, NM 87325

Mailing address

PO Box 142
Tohatchi, NM 87325-0142
Phone (505) 733-8100

Other providers in Tohatchi, NM

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

Sources for this page

Verify at the official NPI Registry.