DEITRA GATES CNS
NPI 1366865560
Clinical Nurse Specialist - Adult Health in Albuquerque, NM

Q: What is the provider's specialty?

The provider's specialty is Clinical Nurse Specialist with taxonomy code 364SA2200X and a focus in Adult Health.

Active since January 24, 2014

610 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102(505) 242-3991(505) 243-8405 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Deitra Gates Cns NPPES

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

DEITRA GATES CNS (NPI 1366865560) is an individual adult health provider in Albuquerque, New Mexico, licensed in New Mexico (CNS-00245) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1366865560

Entity TypeIndividualFemale

Primary Taxonomy364SA2200X

Provider Legal NameDEITRA GATESCredential: CNS

Location Address610 BROADWAY BLVD NEAlbuquerque, NM 87102-2372

Mailing Address610 Broadway Blvd NeAlbuquerque, NM 87102-2372 · (505) 242-3991 · Fax (505) 243-8405

Phone(505) 242-3991

Fax(505) 243-8405

Sole ProprietorNo

Enumeration DateJanuary 24, 2014

Last NPPES UpdateJuly 21, 2014

✔ NPI 1366865560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SA2200X

License✔ Licensed in NM · CNS-00245

610 BROADWAY BLVD NE, Albuquerque, NM 87102

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Other Identifiers 1

Medicaid97304077NM

Other Providers at the Same Location NPPES 15

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

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