SUSAN A PUDWILL RN
NPI 1104064591
Registered Nurse in Bloomfield, NM

Q: What is Susan Pudwill's NPI number?

The NPI number for Susan Pudwill is 1104064591. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Q: What is Susan Pudwill's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Pudwill was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 23, 2009

6 ROAD 7586, BLOOMFIELD, NM 87413(505) 632-1801(505) 368-6476 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan A Pudwill Rn NPPES

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

SUSAN A PUDWILL RN (NPI 1104064591) is an individual registered nurse in Bloomfield, New Mexico, licensed in New Mexico (R54540) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1104064591

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameSUSAN A PUDWILLCredential: RN

Location Address6 ROAD 7586Bloomfield, NM 87413-4934

Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 632-1801 · Fax (505) 368-6476

Phone(505) 632-1801

Fax(505) 368-6476

Sole ProprietorNo

Enumeration DateJanuary 23, 2009

✔ NPI 1104064591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in NM · R54540

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

6 ROAD 7586, Bloomfield, NM 87413

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Other Identifiers 1

Medicare OSCAR/certification320059NM

Other Providers at the Same Location NPPES 13

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

DHHS PHS NAIHS SHIPROCK HOSPITAL

Clinical Medical Laboratory