Gilliland, Theresa Lynn

Gilliland, Theresa Lynn is an individual health care provider with primary practice located at 1600 San Pedro Dr Ne , Albuquerque NM 87110-6734. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gilliland, Theresa Lynn can be contacted via phone (505) 404-0717.

Contact Information

Primary practice address
1600 San Pedro Dr Ne Albuquerque NM 87110-6734
Phone: (505) 404-0717
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN.0995151-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP-01630 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11076 California

Profile Details

NPI number 1083785513
LBN Legal business name Gilliland, Theresa Lynn
Credentials NP-C FNP PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Feb 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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