Sharon White
Individual provider Active NPI School Registered Nurse · Dexter, NM
NPI 1962942854 · NPPES record last updated Feb 27, 2017
Key facts
- NPI
- 1962942854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- R09659 (NM)
- Practice address
- 100 N Lincoln
Dexter, NM 88230 - Phone
- (575) 734-5420
- NPI assigned
- Feb 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| R09659 | NM | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dexter Consolidated Schools | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R09659 | NM | Yes |
Addresses
Primary practice location
100 N Lincoln
Dexter, NM 88230
Mailing address
PO Box 159
Dexter, NM 88230-0159
Phone (575) 734-5420
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R09659 | Other | NM | NEW MEXICO BOARD OF NUSING LICENSE |
Other providers in Dexter, NM
- Celestina Prieto
- Naeemah Nicole Reese
- Reins for Life Inc
- Roswell Hospital Corporation
- Vicki Waltrip
- Jonathan Wolkwitz
All providers in Dexter, NM · School 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 Feb 27, 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.