Whalio Doctors

NPI 1063806594

Guy Massena

Practitioner Community Health Registered Nurse Clovis, NM

Practice location

Address
1100 W 21st St, Clovis, NM 88101-4151
Phone
(575) 769-2345
Fax
(575) 769-9013

Registered specialties (2)

Community Health Registered Nurse Primary
Nursing Service Providers Taxonomy 163WC1500X Licence R54346 (NM)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence R54346 (NM)

Registry record

NPI
1063806594
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Mar 2015
Record last updated
28 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.