Provider Demographics
NPI:1285049163
Name:WALK IN BEAUTY NURSING, LLC
Entity type:Organization
Organization Name:WALK IN BEAUTY NURSING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WALINDA
Authorized Official - Middle Name:BLATCHFORD
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:505-905-0739
Mailing Address - Street 1:PO BOX 4545
Mailing Address - Street 2:
Mailing Address - City:YATAHEY
Mailing Address - State:NM
Mailing Address - Zip Code:87375-4545
Mailing Address - Country:US
Mailing Address - Phone:505-905-0739
Mailing Address - Fax:505-832-3373
Practice Address - Street 1:24 SOUTH LA BAH
Practice Address - Street 2:
Practice Address - City:YATAHEY
Practice Address - State:NM
Practice Address - Zip Code:87375-4545
Practice Address - Country:US
Practice Address - Phone:505-905-0739
Practice Address - Fax:505-832-3373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2265251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health