Zachary Lucas, SRNA, RN, NRP
Registered Nurse, Critical Care Medicine in Gallup, NM. Individual provider (NPI-1).
NPI number1477372985
StatusActive
Last updated in NPPESAug 4, 2026
Details
- NPI
- 1477372985
- Entity type
- Individual (NPI-1)
- Name
- Zachary Lucas
- Credential
- SRNA, RN, NRP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2024
- Certification date
- Aug 4, 2026
- Last updated
- Aug 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0200X | Registered Nurse, Critical Care Medicine | R056585 | SD | Yes |
| 163WE0003X | Registered Nurse, Emergency | R056585 | SD | |
| 163WF0300X | Registered Nurse, Flight | R056585 | SD | |
| 146L00000X | Emergency Medical Technician, Paramedic | 231630 | PA |
Practice location
516 E Nizhoni BlvdGallup, NM 87301-5748
Phone 505-722-1000
Mailing address
8901 Rockville PikeBethesda, MD 20889-0001
Other practice locations
8901 Rockville Pike
Bethesda, MD 20889-0001
Bethesda, MD 20889-0001
Phone 301-295-4455
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