Provider Demographics
NPI:1669085817
Name:NARANJO, LUCIA ELIZABETH (RN, MSN)
Entity type:Individual
Prefix:
First Name:LUCIA
Middle Name:ELIZABETH
Last Name:NARANJO
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 MCCOY AVE
Mailing Address - Street 2:
Mailing Address - City:AZTEC
Mailing Address - State:NM
Mailing Address - Zip Code:87410-1727
Mailing Address - Country:US
Mailing Address - Phone:505-334-6831
Mailing Address - Fax:
Practice Address - Street 1:901 MCCOY AVE
Practice Address - Street 2:
Practice Address - City:AZTEC
Practice Address - State:NM
Practice Address - Zip Code:87410-1727
Practice Address - Country:US
Practice Address - Phone:505-334-6831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-27
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR28461163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool