Mrs Bertha Ann Roark, RN | |
310 La Jara St, Bloomfield, NM 87413-6626 | |
(505) 634-3673 | |
(505) 634-3675 |
Full Name | Mrs Bertha Ann Roark |
---|---|
Gender | Female |
Speciality | Registered Nurse - School |
Location | 310 La Jara St, Bloomfield, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750598835 | NPI | - | NPPES |
64434826 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WS0200X | Registered Nurse - School | R18502 (New Mexico) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Bertha Ann Roark, RN 712 N 3rd St., Bloomfield, NM 87413 Ph: (505) 634-3673 | Mrs Bertha Ann Roark, RN 310 La Jara St, Bloomfield, NM 87413-6626 Ph: (505) 634-3673 |
Kerriann Maria Malott, BSN,RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 325 N Bergin Ln, Bloomfield, NM 87413 Phone: 505-632-4337 Fax: 505-632-4371 | |
Susan A Pudwill, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6 Road 7586, Bloomfield, NM 87413 Phone: 505-632-1801 Fax: 505-368-6476 | |
Christina Marie Brickey, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6 Road 7586, Bloomfield, NM 87413 Phone: 505-632-1801 Fax: 505-368-6476 | |
Aimee M Garrett, RN BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 520 N 1st St, Bloomfield, NM 87413 Phone: 505-634-3405 | |
Lisa Hamilton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 325 N Bergin Ln, Bloomfield, NM 87413 Phone: 505-632-4389 Fax: 505-213-0007 | |
Sharlee Ashley, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 310 La Jara St, Bloomfield, NM 87413 Phone: 505-634-3891 | |
Marilyn M Faor, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6 Road 7586, Bloomfield, NM 87413 Phone: 505-632-1801 Fax: 505-368-6476 |