Willie Chimwaza Valid NPI

Individual provider · Registered Nurse · Gallup, NM

NPI

1942171608

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

28259189A (IN)

Sex

Male

Sole proprietor

No

Enumerated

2025-09-16

Last updated

2025-09-16