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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFERY MICHAEL MEDINA, RN

Active Sole Proprietor

JEFFERY MICHAEL MEDINA, RN is a Medical-Surgical Nurse healthcare provider located in SANTA FE, New Mexico. NPI 1932648383 is currently active in the NPPES registry. Verify at CMS.

Medical-Surgical Nurse · SANTA FE, NM

Registration Details

NPI Number
1932648383
Provider Type
Individual
Gender
Male
NPI Issued
Feb 17, 2017 (9.532754372059 yrs)
Last Updated
Feb 17, 2017
License
RN-81127 (NM)
Sole Proprietor
Yes

Practice Information

Address
455 SAINT MICHAELS DR
SANTA FE, NM, 875057601
Browse NM providers · Browse ZIP 87505
Phone
5059135503
Primary Specialty
Medical-Surgical Nurse
163WM0705X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.