Cyrene May Ibanez Bagayas, REGISTERED NURSE
Individual provider Active NPI Medical-Surgical Registered Nurse · Crownpoint, NM
NPI 1902621360 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1902621360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- 92761 (NE)
- Practice address
- PO Box 358
Crownpoint, NM 87313-0358 - Phone
- (505) 786-5291
- NPI assigned
- Nov 20, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92761 | NE | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 92761 | NE | Yes |
Addresses
Primary practice location
PO Box 358
Crownpoint, NM 87313-0358
Mailing address
1102 S Tabor Ave Apt 602
North Platte, NE 69101-7765
Phone (308) 660-1470
Other providers in Crownpoint, NM
- Diane E Alaimo
- Tex W Anderson Jr.
- Albert Anthony Armitage Jr.
- Kimberly Montgomery Artis
- Kali Autrey
- Jennifer L. Becenti
- Aurelia Begay-Harlan
- Dustin Begay
- Le Vonne K Biakeddy
- Antoine Bondima
All providers in Crownpoint, NM · Medical-Surgical 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 Nov 20, 2024. 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.