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Mayedel San Jose, DNP,APRN,FNP-C
Family Nurse Practitioner in Santa Teresa, New Mexico
NPI 1588018832

Mayedel San Jose is a Family Nurse Practitioner based in Santa Teresa, NM and is specialized in Family. Mayedel San Jose practices in Santa Teresa, NM and has the professional credentials of DNP,APRN,FNP-C. The NPI Number for Mayedel San Jose is 1588018832 and holds a License No. AP130851 (New Mexico).

The current practice location address for Mayedel San Jose is 1245 Country Club Rd Ste 200, Santa Teresa, NM and can be reached out via phone at 575-332-4633.

Location: 1245 Country Club Rd Ste 200, Santa Teresa, NM, 88008-9743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588018832
Provider Name
Mayedel San Jose
Credential
DNP,APRN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1245 Country Club Rd Ste 200, Santa Teresa, NM, 88008-9743
Phone Number
575-332-4633
Fax Number
Provider Enumeration Date
04/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1245 Country Club Rd Ste 200
City
Santa Teresa
State
New Mexico
Zip
88008-9743
Phone Number
575-332-4633
Fax Number
person
Provider Business Mailing Address Details
Address
1245 Country Club Rd Ste 200
City
Santa Teresa
State
New Mexico
Zip
88008-9743
Phone Number
575-332-4633
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP130851 (Texas)
Definition
Definition to come...
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