Loretta Lucy Brazil, RN BSN
Individual provider Active NPI Registered Nurse · Cimarron, NM
NPI 1891200937 · NPPES record last updated Dec 12, 2017
Key facts
- NPI
- 1891200937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R15228 (NM)
- Practice address
- 132 N Collison Ave
Cimarron, NM 87714-8500 - Phone
- (575) 376-2512
- Fax
- (575) 376-2217
- NPI assigned
- Dec 12, 2017
- 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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R15228 | NM | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R15228 | NM | Yes |
Addresses
Primary practice location
132 N Collison Ave
Cimarron, NM 87714-8500
Mailing address
805 Adams Ave
Cimarron, NM 87714-9628
Phone (575) 376-2622
Other providers in Cimarron, NM
All providers in Cimarron, 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 12, 2017. 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.