Nelson, Petrina

Nelson, Petrina is an individual health care provider with primary practice located at 3855 Foothills Rd Ste C , Las Cruces NM 88011. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Nelson, Petrina can be contacted via phone (575) 520-2861.

Contact Information

Primary practice address
3855 Foothills Rd Ste C Las Cruces NM 88011
Fax: (575) 652-4937
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2610 New Mexico

Profile Details

NPI number 1053508689
LBN Legal business name Nelson, Petrina
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Jan 15th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053508689 NPPES
New Mexico Other 2610 LPCC
New Mexico MEDICAID 93688059 LPCC

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