Wilson Mcelyea, Dianne C

Wilson Mcelyea, Dianne C is an individual health care provider with primary practice located at 2701 Missouri Ave Ste A, Las Cruces NM 88011-5091. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson Mcelyea, Dianne C can be contacted via phone (575) 522-7880.

Contact Information

Primary practice address
2701 Missouri Ave Ste A Las Cruces NM 88011-5091
Phone: (575) 522-7880
Fax: (575) 522-7226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R34632 New Mexico

Profile Details

NPI number 1487710216
LBN Legal business name Wilson Mcelyea, Dianne C
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 16th, 2009 - about 16 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 1487710216 NPPES
New Mexico Other R34632 LICENSE

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