Individual
TERESA B NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APMHNP
Contact information
Practice address
1700 CERRILLOS RD, SANTA FE, NM 87505-3026
(505) 946-9212
(505) 946-9557
Mailing address
1700 CERRILLOS ROAD, SANTA FE, NM 87505-0698
(505) 946-9212
(505) 946-9557
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R60073
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R60073
NM
Other
Enumeration date
08/28/2012
Last updated
04/03/2019
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