IndividualActive
Mamie Denetclaw, RN, CDE
NPI 1679766463 · Diabetes Educator Registered Nurse · Shiprock, NM
Provider details
- NPI number
- 1679766463
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- RN, CDE
- Sex
- Female
- Sole proprietor
- No
- License
- R26082 (NM)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
US Hwy 491 North
Shiprock, NM 87420
Phone: (505) 368-6401
Fax: (505) 368-6431
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 160
Shiprock, NM 87420-0160
Registry dates
- Enumerated
- 2007-08-24
- Last updated
- 2007-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.