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Individual

MAUD MILLICENT ACQUAH NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 492-9598
Mailing address
1619 BEAVER MOUNTAIN TRL NW, ALBUQUERQUE, NM 87120-4377
(505) 492-9598

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-70150
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
77068
NM

Other

Enumeration date
12/21/2022
Last updated
08/12/2024
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