Ana Luisa Vasquez-Kishbaugh, RN, BSN
Individual provider Active NPI General Practice Registered Nurse · Bayard, NM
NPI 1982734612 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982734612
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- RN30189 (NM)
- Practice address
- 900 Central
Bayard, NM 88023 - Phone
- (505) 537-4000
- Fax
- (505) 537-5503
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN30189 | NM | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobre Consolidated Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN30189 | NM | Yes |
Addresses
Primary practice location
900 Central
Bayard, NM 88023
Mailing address
33 Hot Springs Canyon Rd
San Lorenzo, NM 88041
Phone (505) 536-3302
Other providers in Bayard, NM
All providers in Bayard, NM · General Practice 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 Jul 8, 2007. 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.