Audri Marie Mirabal, RN
Registered Nurse, School in Clovis, NM. Individual provider (NPI-1).
NPI number1619852845
StatusActive
Last updated in NPPESAug 7, 2025
Details
- NPI
- 1619852845
- Entity type
- Individual (NPI-1)
- Name
- Audri Marie Mirabal
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2025
- Certification date
- Aug 7, 2025
- Last updated
- Aug 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WS0200X | Registered Nurse, School | RN-74066 | NM | Yes |
Practice location
1009 N Main StClovis, NM 88101-5932
Phone 575-769-4490 · Fax 575-769-4330
Mailing address
Po Box 19000Clovis, NM 88102-9000
Phone 575-769-4490 · Fax 575-769-4330
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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