MRS. GAYLIA DIANNE PRIDE RN - NPI 1255347043 - Registered Nurse in Dulce, NM

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WP2201X and a focus in Ambulatory Care.

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About Mrs. Gaylia Dianne Pride Rn NPPES

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

MRS. GAYLIA DIANNE PRIDE RN (NPI 1255347043) is an individual ambulatory care provider in Dulce, New Mexico, licensed in New Mexico (R47562) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1255347043

Entity TypeIndividualFemale

Primary Taxonomy163WP2201X

Provider Legal NameMRS. GAYLIA DIANNE PRIDECredential: RN

Location Address12000 STONE LAKE RDDulce, NM 87528

Mailing AddressPo Box 752Chama, NM 87520-0752 · (505) 756-1598

Phone(505) 759-7248

Fax(505) 759-7294

Sole ProprietorNo

Enumeration DateJuly 31, 2006

Last NPPES UpdateMay 28, 2008

✔ NPI 1255347043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers

Taxonomy Code163WP2201X

License✔ Licensed in NM · R47562

12000 STONE LAKE RD, Dulce, NM 87528

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Other Identifiers 3

Medicaid000K3526NM

OtherHSZ196NM · Medicare Part B

Medicare OSCAR/certification320057NM

Other Providers at the Same Location

The following 7 providers are registered at the same or a nearby location.

MRS. KRISTINE S WILLIAMS RD LD

Dietitian, Registered

12000 STONE LAKE RD, DULCE HEALTH CENTER
DULCE, NM 87528

Rio Arriba County (505) 759-3291

KATHERINE E BERRY RDH

Dental Hygienist

12000 STONE LAKE RD, JICARILLA APACHE HEALTH CARE FACILITY, IHS
DULCE, NM 87528

Rio Arriba County (575) 759-3291

SUSAN FRANCES DONLON RN

Registered Nurse (Community Health)