SearchNew Mexico367A00000X

Melissa Penn, CNM

NPI 1720489933 · on the registry since 2014

Practice

Address
516 E Nizhoni Blvd
Gallup, NM 87301
Phone
(505) 722-1000
Organisation at this address
Gallup Indian Med Center Pharmacy
Dhhs,Phs,Naihs, Gallup Indian Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,269

Registry record

Primary taxonomy
367A00000X
367A00000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico