Gaylia Dianne Pride in Dulce - Ambulatory Care

Gaylia Dianne Pride - NPI 1255347043

Gaylia Dianne Pride is a Ambulatory Care in Dulce, New Mexico. Gaylia Dianne Pride practices all healthcare services and medical treatments related to Ambulatory Care. The NPI Number for Gaylia Dianne Pride is 1255347043. The last update date is 2008-05-28.

Gaylia Dianne Pride's current location address is 12000 Stone Lake Rd, Dulce, New Mexico. You can contact this provider via phone number 5057597248 and fax number 5057597294. The mailing address for Gaylia Dianne Pride is 12000 Stone Lake Rd, Dulce, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Gaylia Dianne Pride
Address 12000 Stone Lake Rd, Dulce, New Mexico
Phone Number 5057597248
Fax Number 5057597294
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1255347043
Provider Enumeration Date 2006-07-31
Last Updated Date 2008-05-28

Provider Mailing Address Detail

Address 12000 Stone Lake Rd
City Dulce
State New Mexico (NM)
Post Code 87528
Phone Number 5057597248
Fax Number 5057597294

Provider's Primary Taxonomy Detail

Speciality Ambulatory Care
Taxonomy 163Wp2201X
Licence No R47562
Definition:
A registered nurse who provides care in outpatient settings.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HSZ196 NM MEDICARE PART B
000K3526 NM --

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FAQs about Gaylia Dianne Pride

What is the unique provider identifier assigned to Gaylia Dianne Pride?

The Gaylia Dianne Pride has been issued the NPI (National Provider Identifier) 1255347043 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Gaylia Dianne Pride's facilities are situated?

The facilities of Gaylia Dianne Pride are physically located at the following address: 12000 Stone Lake Rd, Dulce, NM, 87528.

What is the Gaylia Dianne Pride's specialty and taxonomy code?

The Gaylia Dianne Pride's specialty is Ambulatory Care, and the corresponding taxonomy code is 163Wp2201X.

On what date did Gaylia Dianne Pride receive its 1255347043 assignment from the Centers for Medicare & Medicaid Services?

The Gaylia Dianne Pride was assigned its 1255347043 on 2006-07-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Gaylia Dianne Pride most recently updated or revised?

The information pertaining to Gaylia Dianne Pride, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-28.

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