Individual
CAROL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1325 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5046
(505) 291-5300
Mailing address
1325 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5046
(505) 291-5300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD2009-0640
NM
2084P0804X
Child & Adolescent Psychiatry Physician
MD2009-0640
NM
Other
Enumeration date
08/20/2006
Last updated
04/16/2013
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