IndividualActive
Kerriann Malott, BSN,RN
NPI 1083341572 · General Practice Registered Nurse · Bloomfield, NM
Provider details
- NPI number
- 1083341572
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- BSN,RN
- Sex
- Female
- Sole proprietor
- No
- License
- 59774 (NM)
Specialties & taxonomies
Nursing Service Providers
Practice location
325 N Bergin Ln
Bloomfield, NM 87413-6729
Phone: (505) 632-4337
Fax: (505) 632-4371
Approximate (ZIP-level) locationGet directions
Mailing address
325 N Bergin Ln
Bloomfield, NM 87413-6729
Registry dates
- Enumerated
- 2022-08-04
- Last updated
- 2022-08-04
- Certified
- 2022-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.