Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Astra Surom

Individual provider Pediatric Registered Nurse · NPI 1477141463

Astra Surom is a Pediatric Registered Nurse in Gallup, New Mexico. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2021

Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Registered Nurse (primary) Taxonomy 163WP0200X · Licence 094165 (AR)

Record details

NPI number1477141463
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 5, 2021
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021
Mailing addressPo Box 1832, Bentonville, AR 72712-1832

Other providers in Gallup