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Chrystal Mahan

Registered Nurse in Belen, NM. Individual provider (NPI-1).

NPI number1760141600
StatusActive
Last updated in NPPESDec 8, 2021

Details

NPI
1760141600
Entity type
Individual (NPI-1)
Name
Chrystal Mahan
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 8, 2021
Certification date
Nov 30, 2021
Last updated
Dec 8, 2021

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 codeDescriptionLicenseStatePrimary
163W00000X Registered Nursern73369NMYes

Practice location

15 Eastside School Rd
Belen, NM 87002

Phone 505-966-2200

Mailing address

906 Crenshaw Ct
Rio Communities, NM 87002-5921

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.

Other Registered Nurse providers in Belen, NM

All 5 Registered Nurse providers in Belen · All 364 providers in Belen

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