Yolanda Nelson

Individual provider Active NPI Case Manager/Care Coordinator · Ruidoso, NM

NPI 1740413541 · NPPES record last updated Apr 7, 2014

Key facts

NPI
1740413541
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
208 Sudderth Dr
Ruidoso, NM 88345
Phone
(575) 257-5038
Fax
(575) 257-2312
NPI assigned
Aug 26, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

208 Sudderth Dr
Ruidoso, NM 88345

Mailing address

1320 S. Solano
Las Cruces, NM 88001
Phone (575) 527-7900

Other identifiers

IdentifierTypeStateIssuer
18677037MedicaidNM

Other names

  • Yolanda Wages Former name

Other providers in Ruidoso, NM

All providers in Ruidoso, NM · Case Manager/Care Coordinator in New Mexico

Sources for this page

Verify at the official NPI Registry.