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MRS. STEPHANIE RAE DATEMA RN
NPI 1013344779
Registered Nurse - Emergency in Gallup, NM

Active since September 26, 2013
516 E NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Stephanie Rae Datema Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STEPHANIE RAE DATEMA RN (NPI 1013344779) is an individual emergency provider in Gallup, New Mexico, licensed in New Mexico (RN-76978) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1013344779
Entity TypeIndividualFemale
Primary Taxonomy163WE0003X
Provider Legal NameMRS. STEPHANIE RAE DATEMACredential: RN
Location Address516 E NIZHONI BLVDGallup, NM 87301-5748
Mailing AddressPo Box 1337Gallup, NM 87305-1337 · (505) 722-1165
Phone(505) 722-1000
Sole ProprietorNo
Enumeration DateSeptember 26, 2013
✔ NPI 1013344779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in NM · RN-76978
516 E NIZHONI BLVD, Gallup, NM 87301
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER MARIE MOORE RN, BSN
Registered Nurse (Medical-Surgical)
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
OLUREMI D ESURUOSO RN
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-2100
ALICE SMITH RN
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1790
JODIE INSKEEP RN
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1790
LORRAINE AMANDA CABRILLAS RN
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
JODY MARIE ACORD RN
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1790
TRACY LYNN WATSON
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
JUDY GAMBOA OCAMPO
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Datema's NPI number?

The NPI number for Stephanie Datema is 1013344779. It was assigned to this individual provider in the NPPES registry on September 26, 2013.

Where is Stephanie Datema located?

Stephanie Datema practices at 516 E Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Stephanie Datema's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Emergency, with taxonomy code 163WE0003X.

When was this NPI record last updated?

The NPPES record for Stephanie Datema was last updated on September 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.