Provider Demographics
NPI:1366277709
Name:WUEST, NORA (BSN RN)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:WUEST
Suffix:
Gender:F
Credentials:BSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1857 CURRY ROAD 12
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:NM
Mailing Address - Zip Code:88101-1204
Mailing Address - Country:US
Mailing Address - Phone:575-219-7899
Mailing Address - Fax:575-784-0082
Practice Address - Street 1:224 DL INGRAM BLDG 1408
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:NM
Practice Address - Zip Code:88101
Practice Address - Country:US
Practice Address - Phone:575-874-2778
Practice Address - Fax:575-784-0082
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRN73609163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice