Thomas Vansant, RN
Individual provider Active NPI Emergency Registered Nurse · Capitan, NM
NPI 1972128494 · NPPES record last updated Jun 10, 2020
Key facts
- NPI
- 1972128494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- RN-77499 (NM)
- Practice address
- 114 Talla Quaw TRL
Capitan, NM 88316-5034 - Phone
- (931) 408-0015
- NPI assigned
- Jun 10, 2020
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN-77499 | NM | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN-77499 | NM | Yes |
Addresses
Primary practice location
114 Talla Quaw TRL
Capitan, NM 88316-5034
Mailing address
114 Talla Quaw TRL
Capitan, NM 88316-5034
Phone (931) 408-0015
Other practice location 1
Kayenta Health Center
Hwy 160 Mile post 394.3
Kayenta, AZ 86033
Phone (928) 697-4000
Other providers in Capitan, NM
All providers in Capitan, NM · Emergency 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 Jun 10, 2020. 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.