IndividualActive
Bernadette Dayzie, CNP
NPI 1245393032 · Pediatric Nurse Practitioner · Santo Domingo Pueblo, NM
Provider details
- NPI number
- 1245393032
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 105014 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Kewa Pueblo Health Corporation
85 W Hwy 22
Santo Domingo Pueblo, NM 87052
Phone: (505) 465-3060
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 340
Santo Domingo Pueblo, NM 87052-0340
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2021-12-02
- Certified
- 2021-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.