Healthcare Provider Details

I. General information

NPI: 1013340546
Provider Name (Legal Business Name): RUTH HONEY COVIN-WEEKS PMHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2013
Last Update Date: 06/21/2021
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 N 13TH ST
ARTESIA NM
88210-1199
US

IV. Provider business mailing address

702 N 13TH ST
ARTESIA NM
88210-1199
US

V. Phone/Fax

Practice location:
  • Phone: 575-748-3333
  • Fax: 575-748-8540
Mailing address:
  • Phone: 575-748-3333
  • Fax: 575-748-8540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number57495
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number764036
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: