Tetruealt, Denise

Tetruealt, Denise is an individual health care provider with primary practice located at 10 Price Ranch Rd , Santa Fe NM 87505-9597. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Tetruealt, Denise can be contacted via phone (505) 466-4184.

Contact Information

Primary practice address
10 Price Ranch Rd Santa Fe NM 87505-9597
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X M-05146 New Mexico

Profile Details

NPI number 1215057096
LBN Legal business name Tetruealt, Denise
Credentials SW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215057096 NPPES
New Mexico MEDICAID 26178516

Popular Providers