MRS. CANDY MEDINA RN - NPI 1366863235 - Registered Nurse in Anthony, NM

Q: What is Candy Medina's NPI number?

The NPI number for Candy Medina is 1366863235. It was assigned to this individual provider in the NPPES registry on December 19, 2013.

Q: What is Candy Medina's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

Q: When was this NPI record last updated?

The NPPES record for Candy Medina was last updated on December 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Candy Medina Rn NPPES

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

MRS. CANDY MEDINA RN (NPI 1366863235) is an individual school provider in Anthony, New Mexico, licensed in New Mexico (R53615) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1366863235

Entity TypeIndividualFemale

Primary Taxonomy163WS0200X

Provider Legal NameMRS. CANDY MEDINACredential: RN

Location Address1301 WASHINGTON ST, 1301 WEST WASHINGTON STREETAnthony, NM 88021-8846

Mailing Address1301 Washington St, 1301 West Washington StreetAnthony, NM 88021-8846 · (575) 882-6101 · Fax (575) 882-6926

Phone(575) 882-6101

Fax(575) 882-6926

Sole ProprietorYes

Enumeration DateDecember 19, 2013

✔ NPI 1366863235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers

Taxonomy Code163WS0200X

License✔ Licensed in NM · R53615

1301 WASHINGTON ST, Anthony, NM 88021

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Other Providers at the Same Location NPPES 6

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

LUCERO MARTINEZ

Specialist/Technologist (Speech-Language Assistant)