Individual provider · Type 1 NPI
Bernadette Dayzie, CNP
Pediatric Nurse Practitioner · Santo Domingo Pueblo, NM
NPI number
1245393032
Active
Practice location
Kewa Pueblo Health Corporation, 85 W Hwy 22
Santo Domingo Pueblo, NM 87052
Mailing address
PO Box 340
Santo Domingo Pueblo, NM 87052-0340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 105014 (CO) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Santo Domingo Pueblo
About NPI 1245393032
Bernadette Dayzie, CNP's National Provider Identifier is 1245393032, issued on Dec 19, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Santo Domingo Pueblo, NM. The record was last updated on Dec 2, 2021.