Individual
KATRINA MAYE EUGENIO DIVIDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
7029 CONCORD HILLS LOOP NE, RIO RANCHO, NM 87144-8600
(928) 255-3684
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
218800
AZ
3747A0650X
Attendant Care Provider
—
NM
Other
Enumeration date
01/24/2020
Last updated
02/23/2026
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