Niki Rae Allison, RN

Individual provider Active NPI School Registered Nurse · Farmington, NM

NPI 1972076115 · NPPES record last updated Jan 10, 2019

Key facts

NPI
1972076115
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
RN-84403 (NM)
Practice address
1400 E 23Rd St
Farmington, NM 87401-9076
Phone
(505) 599-8609
Fax
(505) 599-8664
NPI assigned
Jan 10, 2019
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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-84403NMMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN-84403 NM Yes

Addresses

Primary practice location

1400 E 23Rd St
Farmington, NM 87401-9076

Mailing address

1400 E 23Rd St
Farmington, NM 87401-9076
Phone (505) 599-8609

Other providers in Farmington, NM

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

Sources for this page

Verify at the official NPI Registry.