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:
Health care specialties
Specialty | Code | License # | 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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