MAMIE DENETCLAW RN CDE NPI 1679766463

NPI Information

  • NPI: 1679766463
  • Provider Name: MAMIE DENETCLAW, RN, CDE
  • Classification: Registered Nurse - 163WD0400X
  • Specialization: Diabetes Educator
  • Entity Type: Individual
  • Address: US HWY 491 NORTH
    SHIPROCK, NM
    ZIP 87420
  • Phone: (505) 368-6401

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NPI Details

Mamie Denetclaw, RN, CDE is a diabetes educator registered nurse in Shiprock, NM. Mamie Denetclaw, RN, CDE NPI is 1679766463. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

US HWY 491 NORTH
SHIPROCK, NM
ZIP 87420
Phone: (505) 368-6401
Fax: (505) 368-6431

The enumeration date for this NPI number is 8/24/2007 and was last updated on 8/24/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0400XRegistered NurseCase ManagementR26082NEW MEXICONo
2163WD0400XRegistered NurseDiabetes EducatorR26082NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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