Individual
DIANE ELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 LEAD AVE SE APT 16, ALBUQUERQUE, NM 87106-4076
(877) 416-6474
(505) 355-2684
Mailing address
1811 LEAD AVE SE APT 16, ALBUQUERQUE, NM 87106-4076
(877) 416-6474
(505) 355-2684
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1083931
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
72600
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72600
STATELICENSE
NM
Enumeration date
02/06/2023
Last updated
03/02/2026
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