Angelica Brown, RN

Individual provider Active NPI School Registered Nurse · Albuquerque, NM

NPI 1902489412 · NPPES record last updated May 3, 2021

Key facts

NPI
1902489412
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
R62823 (NM)
Practice address
10900 San Jacinto Ave NE
Albuquerque, NM 87112-5414
Phone
(505) 298-5009
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
Yes

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
R62823NMMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
163WS0200X R62823 NM Yes

Addresses

Primary practice location

10900 San Jacinto Ave NE
Albuquerque, NM 87112-5414

Mailing address

PO Box 25704
Albuquerque, NM 87125-0704

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · School Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.