Healthcare Provider Details

I. General information

NPI: 1942149281
Provider Name (Legal Business Name): STRONG MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8909 ADAMS ST NE STE D
ALBUQUERQUE NM
87113-2733
US

IV. Provider business mailing address

8909 ADAMS ST NE STE D
ALBUQUERQUE NM
87113-2733
US

V. Phone/Fax

Practice location:
  • Phone: 505-933-1166
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: NELS NATHANIAL DAHLGREN
Title or Position: OWNER
Credential: MD
Phone: 505-659-6815