Doctor Name: | NIKITA READ |
NPI Number: | 1518323666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | CNP-02825 |
Business Practice Address: | 6349 Highway 550 Cuba, NM - 87013 |
Business Phone Number: | 5752893291 |
Business Fax Number: | |
Mailing Address: | 6349 Us Highway 550, CUBA |
State: | NM |
Postal Code: | 87013 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/05/2016 |
NPI Last Update Date: | 01/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP-02825 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |