Jo Beth Fritz, RN
Individual provider Active NPI School Registered Nurse · Bloomfield, NM
NPI 1992911275 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992911275
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- R 22079 (NM)
- Practice address
- 520 N 1St St
Bloomfield, NM 87413-5307 - Phone
- (505) 634-3405
- Fax
- (505) 634-3413
- NPI assigned
- May 15, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R 22079 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R 22079 | NM | Yes |
Addresses
Primary practice location
520 N 1St St
Bloomfield, NM 87413-5307
Mailing address
635 Road 2900
Aztec, NM 87410-1040
Phone (505) 664-3405
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64434826 | Medicaid | NM |
Other providers in Bloomfield, NM
- Mkayla Taylor Ellsworth
- Bernadette Diann Enriquez
- Marina B Ferrari
- Emma Y. Foster
- Melissa R Fred
- Michelle Gabaldon
- Aimee M Garrett
- Selece Gathings
- Amber Giles
- Robin Irvin Glass
All providers in Bloomfield, 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 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.