TERESE AILEEN O'NEIL SELVAGE MN CNP NPI 1205935004

NPI Information

NPI: 1205935004
Provider Name: TERESE AILEEN O'NEIL SELVAGE, MN, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: SOUTHWEST CARE CENTER

PECOS Registration: Yes

Address:
901 W ALAMEDA ST STE 25
SANTA FE, NM
ZIP 87501
Phone: (505) 988-8869
Get Directions

Terese Aileen O'neil Selvage, MN, CNP is an adult health nurse practitioner in Santa Fe, NM with 10 years of experience. Terese Aileen O'neil Selvage, MN, CNP NPI is 1205935004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

901 W ALAMEDA ST STE 25
SANTA FE, NM
ZIP 87501-673
Phone: (505) 988-8869
Fax: (505) 982-6298

The NPI 1205935004 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 11/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	CNP00790	NEW MEXICO	No
2	363LA2200X	Nurse Practitioner	Adult Health	R36675	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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