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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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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