EDWARD GARY GUM


Address: #3 Cedar Road, San Felipe Pueblo, NM 87001
Phone: 5057719941

EDWARD GARY GUM (NPI# 1740751841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740751841
Entity Type Individual
Full Name EDWARD GARY GUM
Credential MSN, RN
Practice Address #3 Cedar Road
San Felipe Pueblo
NM 87001
Mailing Address #3 Cedar Road
Po Box 4339
San Felipe Pueblo
NM 87001
Practice Telephone 5057719941
Practice Fax Number 5057719992
Mailing Telephone 5057719941
Mailing Fax Number 5057719992
Enumeration Date 2018-12-16
Last Update Date 2018-12-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA2000X Registered Nurse
Specialization: Administrator
R25665 NM Nursing Service Providers

Office Location

Street Address #3 CEDAR ROAD
City SAN FELIPE PUEBLO
State NM
Zip Code 87001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790247583 Timothy Earle Moeslein Registered Nurse #3 Cedar Road, San Felipe Pueblo, NM 87001 2019-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194229278 Michael Townsend Peer Specialist 3 Cedar Rd, Algodones, NM 87001 2018-03-22
1750837332 Kaitlyn Therese Archibeque Specialist/Technologist 1370a Hwy 313, Algodones, NM 87001 2016-09-01
1992154850 Tonya Louis Social Worker 25 Cougar Road, San Felipe, NM 87001 2016-06-10
1821391806 Gail Aguilar Counselor 18 Cougar Road, San Felipe Behavioral Health Program, San Felipe, NM 87001 2010-12-13
1740341304 David M Hanson Dentist #4 Cedar Street, San Felipe, NM 87001 2006-12-13
1265511299 Pueblo of San Felipe Clinic/Center 3 Cedar Rd., San Felipe, NM 87001 2006-11-02
1831274851 San Felipe Health Clinic General Acute Care Hospital Cedar Street, San Felipe, NM 87001 2006-10-26
1164439261 Marvin Jordan Godner Pediatrics 711 Pueblo Main Street, San Felipe Pueblo, NM 87001 2006-08-02
1366425712 Julie Anna King Pharmacist San Felipe Health Clinic Pharmacy, Cedar Street #4 San Felipe Pueblo, San Felipe, NM 87001 2005-11-21
1255885430 Dana Shock Registered Nurse Pueblo of San Felipe, San Felipe Pueblo, San Felipe Pueblo, NM 87001 2016-08-05
Find all providers in zip 87001

Taxonomy Information

Taxonomy Code 163WA2000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Administrator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679028500 Norys Gil Registered Nurse 12655 Indian Pl Ne, Albuquerque, NM 87112-4713 2016-08-21
1710199286 Gloria Jean Calhoun Registered Nurse 215 Princeton Dr, Se, Albuquerque, NM 87106-2875 2007-05-04
1235246877 Teresa K. Woodfill Registered Nurse 6349 St Hwy 550, Cuba, NM 87013 2006-08-23
1861954729 Kathleen Cheryl Atene Registered Nurse 516 E Nizhoni Blvd, Gallup, NM 87301-5748 2019-04-01
1265905897 Debra Kay Peterman Registered Nurse 1217 1st St Nw, Albuquerque, NM 87102-1529 2019-01-07
1225500440 Larry Harden Lybbert Registered Nurse 516 E Nizhoni Blvd, Gallup, NM 87301-5748 2018-12-28
1649742511 Allean Raneta Bonin Registered Nurse 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 2018-12-17
1124564299 Jolene Platero Registered Nurse 516 E Nizhoni Blvd, Gallup, NM 87301-5748 2017-01-13
1740730803 Cathy Costlow Mcdonald Registered Nurse 1400a E 20th St, Exceptional Programs Office, Farmington, NM 87401-9024 2016-10-12
1073069845 Tamara Kay James Registered Nurse 315 E Clinton St, Hobbs, NM 88240-8238 2016-08-31
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Competitor

Search similar providers

City SAN FELIPE PUEBLO
Zip Code 87001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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