San Jose, Mayedel
San Jose, Mayedel is an sole proprietor health care provider with primary practice located at 1245 Country Club Rd Ste 200 , Santa Teresa NM 88008-9743. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. San Jose, Mayedel can be contacted via phone (575) 332-4633.Contact Information
Primary practice address
1245 Country Club Rd Ste 200
Santa Teresa NM 88008-9743
Phone: (575) 332-4633
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP130851 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP-03155 | New Mexico |
Profile Details
| NPI number | 1588018832 |
|---|---|
| LBN Legal business name | San Jose, Mayedel |
| Credentials | DNP, APRN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2016 |
| Last updated | Jan 14th, 2024 - about 11 months 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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