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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245393032 NPPES
New Mexico MEDICAID 000Z7054

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