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
Phone: (575) 520-2861
Fax: (575) 652-4937
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053508689 | NPPES |
New Mexico | Other | 2610 | LPCC |
New Mexico | MEDICAID | 93688059 | LPCC |
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