Marilyn Masayesva, RN
Individual provider Active NPI Medical-Surgical Registered Nurse · Polacca, AZ
NPI 1881736072 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881736072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- RN041425 (AZ)
- Practice address
- Hwy 264, MP 388
Polacca, AZ 86042 - Phone
- (928) 737-6000
- Fax
- (928) 737-6369
- NPI assigned
- Feb 13, 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN041425 | AZ | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN041425 | AZ | Yes |
Addresses
Primary practice location
Hwy 264, MP 388
Polacca, AZ 86042
Mailing address
PO Box 4000
Polacca, AZ 86042-4000
Phone (928) 737-6000
Other providers in Polacca, AZ
- Marti E. Loew
- Troy Leon Lomavaya
- Beth L Love
- Daniel C Lyons
- Delilah Grace Maldonado
- Preston Masayumptewa
- Susan Mathew
- Rafi Mansour Mekha
- Vidal Mateo Mendoza III
- Rebecca Metzler
All providers in Polacca, AZ · Medical-Surgical Registered Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.