Organization
TEDDER PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSSA TEDDER (NURSE PRACTITIONER)
(505) 920-0087
Entity
Organization
Contact information
Practice address
8210 LA MIRADA PL NE STE 700, ALBUQUERQUE, NM 87109-1620
(505) 920-0087
Mailing address
1801 BLACK GOLD ST SE, ALBUQUERQUE, NM 87123-2190
(505) 920-0087
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
12/29/2025
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