Benally, Raelynn

Benally, Raelynn is an sole proprietor health care provider with primary practice located at 2111 College Dr , Gallup NM 87301-5600. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Benally, Raelynn can be contacted via phone (505) 397-5172.

Contact Information

Primary practice address
2111 College Dr Gallup NM 87301-5600
Phone: (505) 397-5172
Fax: (877) 396-1184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 85128 New Mexico
Nursing Service Providers / Registered Nurse 163W00000X RN-75921 New Mexico

Profile Details

NPI number 1053855593
LBN Legal business name Benally, Raelynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2016
Last updated Jan 28th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053855593 NPPES
New Mexico MEDICAID N0011073

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