| Edward Gary Gum, MSN, RN | |
|
#3 Cedar Road, San Felipe Pueblo, NM 87001 | |
| (505) 771-9941 | |
| (505) 771-9992 |
| Full Name | Edward Gary Gum |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Administrator |
| Location | #3 Cedar Road, San Felipe Pueblo, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740751841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WA2000X | Registered Nurse - Administrator | R25665 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Gary Gum, MSN, RN #3 Cedar Road, Po Box 4339, San Felipe Pueblo, NM 87001 Ph: (505) 771-9941 | Edward Gary Gum, MSN, RN #3 Cedar Road, San Felipe Pueblo, NM 87001 Ph: (505) 771-9941 |
Dana Shock, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Pueblo Of San Felipe, San Felipe Pueblo, San Felipe Pueblo, NM 87001 Phone: 505-771-9915 | |
Mr. Timothy Earle Moeslein, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: #3 Cedar Road, San Felipe Pueblo, NM 87001 Phone: 505-771-9900 |