Clarissa Mondragon, RN is a
Registered Nurse - School based in Abiquiu, New Mexico. Clarissa Mondragon is licensed to practice in New Mexico (license number R52804) and her current practice location is
21342 Us Highway 84, Abiquiu, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 685-4457.
NPI number for Clarissa Mondragon is 1497269146 and her current mailing address is 21342 Us Highway 84, Abiquiu, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497269146.
Provider's Profile
Full Name | Clarissa Mondragon |
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Gender | Female |
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Speciality | Registered Nurse - School |
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Location | 21342 Us Highway 84, Abiquiu, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497269146
- Provider Enumeration Date: 11/16/2017
- Last Update Date: 11/16/2017
Medical Identifiers
Medical identifiers for Clarissa Mondragon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497269146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WS0200X | Registered Nurse - School | R52804 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clarissa Mondragon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Clarissa Mondragon, RN 21342 Us Highway 84, Abiquiu, NM 87510-2200 Ph: (505) 685-4457 | Clarissa Mondragon, RN 21342 Us Highway 84, Abiquiu, NM 87510-2200 Ph: (505) 685-4457 |
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