Doctor Name: | MRS. DENA NELSON |
NPI Number: | 1053732891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | M-07822 |
Business Practice Address: | 1106 W Quay Ave Artesia, NM - 882101826 |
Business Phone Number: | 5757463812 |
Business Fax Number: | 5757468978 |
Mailing Address: | Po Box 689, ARTESIA |
State: | NM |
Postal Code: | 882110689 |
Phone Number: | 5757463812 |
Fax Number: | 5757468978 |
NPI Enumeration Date: | 12/20/2013 |
NPI Last Update Date: | 12/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | M-07822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |