Healthcare Provider Details

I. General information

NPI: 1568386530
Provider Name (Legal Business Name): REBECCA STUIT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2990 RODEO PARK DR E
SANTA FE NM
87505-6302
US

IV. Provider business mailing address

50 ENTRADA
SANTA FE NM
87507-7608
US

V. Phone/Fax

Practice location:
  • Phone: 505-913-4400
  • Fax:
Mailing address:
  • Phone: 505-913-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number72991
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: