Iris Amezcua, RN

Individual provider Active NPI School Registered Nurse · Albuquerque, NM

NPI 1922720085 · NPPES record last updated Sep 15, 2022

Key facts

NPI
1922720085
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
RN-87365 (NM)
Practice address
6400 Uptown Blvd NE Ste 360
Albuquerque, NM 87110-4202
Phone
(505) 764-2017
NPI assigned
Sep 15, 2022
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
RN-87365NMMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN-87365 NM Yes

Addresses

Primary practice location

6400 Uptown Blvd NE Ste 360
Albuquerque, NM 87110-4202

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.