Dayzie, Bernadette
Dayzie, Bernadette is an sole proprietor health care provider with primary practice located at Kewa Pueblo Health Corporation 85 W Hwy 22, Santo Domingo Pueblo NM 87052. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Dayzie, Bernadette can be contacted via phone (505) 465-3060.Contact Information
Primary practice address
Kewa Pueblo Health Corporation 85 W Hwy 22
Santo Domingo Pueblo NM 87052
Phone: (505) 465-3060
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 105014 | Colorado |
Profile Details
NPI number | 1245393032 |
---|---|
LBN Legal business name | Dayzie, Bernadette |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 19th, 2006 |
Last updated | Dec 2nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245393032 | NPPES |
New Mexico | MEDICAID | 000Z7054 |
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