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

Mrs. Bertha Ann Roark, RN

Individual provider School Registered Nurse · NPI 1750598835

Mrs. Bertha Ann Roark, RN is a School Registered Nurse in Bloomfield, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.

Licensed in
NM
In the registry since
2007
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

310 La Jara St
Bloomfield, NM 87413-6626
Phone: (505) 634-3673
Fax: (505) 634-3675
Show map & directions

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

Specialties & licences

School Registered Nurse (primary) Taxonomy 163WS0200X · Licence R18502 (NM)

Record details

NPI number1750598835
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESJuly 9, 2007

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