MAYEDEL SAN JOSE DNP APRN FNP-C NPI 1588018832

NPI Information

NPI: 1588018832
Provider Name: MAYEDEL SAN JOSE, DNP, APRN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1245 COUNTRY CLUB RD STE 200
SANTA TERESA, NM
ZIP 88008
Phone: (575) 332-4633
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Mayedel San Jose, DNP, APRN, FNP-C is a family nurse practitioner in Santa Teresa, NM. Mayedel San Jose, DNP, APRN, FNP-C NPI is 1588018832. 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:

1245 COUNTRY CLUB RD STE 200
SANTA TERESA, NM
ZIP 88008-743
Phone: (575) 332-4633

The NPI 1588018832 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 4/22/2016 and was last updated on 1/14/2024.

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	AP130851	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	CNP-03155	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: 4/28/2024

NPI Synchronization or Removal

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