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Individual

BENITA RAE LOVATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
235 PASEO DEL CANON E, TAOS, NM 87571-6239
(575) 737-6000
(575) 737-6001
Mailing address
24 PUESTA DEL SOL, TAOS, NM 87571-9158
(505) 917-5762

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN-87214
NM
163WP2201X
Ambulatory Care Registered Nurse
RN-87214
NM
163WS0200X
School Registered Nurse
Primary
RN-87214
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN-87214
NMBON NURSING LICENSE NUMBER
NM
Enumeration date
05/26/2022
Last updated
05/26/2022
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