Individual provider · Type 1 NPI

Mary Teresa Omeddo, RN

Community Health Registered Nurse · Santo Domingo, NM

NPI number 1306506019 Active

Practice location

85 West Hwy 22
Santo Domingo, NM 87052

Mailing address

PO Box 340
Santo Domingo Pueblo, NM 87052-0340

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse 163WC1500X889413 (TX)
Community Health Registered Nurse Primary 163WC1500X65654 (NM)

Community Health Registered Nurse: Definition to come...

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About NPI 1306506019

Mary Teresa Omeddo, RN's National Provider Identifier is 1306506019, issued on Dec 21, 2021. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Santo Domingo, NM. The record was last updated on Mar 22, 2023.