Adriene Harrelson
Individual provider Active NPI Licensed Practical Nurse · Santa Fe, NM
NPI 1871100537 · NPPES record last updated Sep 28, 2020
Key facts
- NPI
- 1871100537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 0002075858 (VA)
- Practice address
- 1264 Rodeo Rd
Santa Fe, NM 87505-6816 - Phone
- (505) 982-2129
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002075858 | VA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Treatment Services LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0002075858 | VA | Yes |
Addresses
Primary practice location
1264 Rodeo Rd
Santa Fe, NM 87505-6816
Mailing address
1264 Rodeo Rd
Santa Fe, NM 87505-6816
Phone (505) 982-2129
Other providers in Santa Fe, NM
- Divara Harper
- Erin Harper
- Melissa Harper
- Brianna Harrand
- Kathryn Harrell
- Rachel Harrington Vierra
- Cole Daniel Harris
- Deborah Ann Harris
- Gary D Harris
- Mary Elizabeth Harris
All providers in Santa Fe, NM · Licensed Practical Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.