Individual
DR. SCOTT NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1881 CONEJO DR, SANTA FE, NM 87505
(505) 424-8584
Mailing address
PO BOX 6081, SANTA FE, NM 87502-6081
(505) 424-8584
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
76240
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44520271
—
NM
01
—
8HM597
PTAN # (MEDICARE)
NM
01
—
HSZ196
MEDICARE PART B
NM
05
—
K3526
—
NM
Enumeration date
03/23/2006
Last updated
02/08/2011
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