Healthcare Provider Details

I. General information

NPI: 1013832054
Provider Name (Legal Business Name): SCHYLAR DUTCHOVER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W JEFFERSON AVE
LOVINGTON NM
88260-3309
US

IV. Provider business mailing address

1512 W AVENUE L
LOVINGTON NM
88260-5386
US

V. Phone/Fax

Practice location:
  • Phone: 575-739-2550
  • Fax:
Mailing address:
  • Phone: 575-441-9705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number67090
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: